Active NPI
Stephen P Leff, MD
- Ophthalmology Physician
- Decatur, GA
National Provider Identifier
1366434698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 017845
- Practice address
- 465 Winn Way
Ste 140
Decatur, GA 30030-1753 - Phone
- (404) 298-5557
- Fax
- (404) 297-9480
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 017845 | GA | Primary |
Addresses
Primary practice location
465 Winn Way
Ste 140
Decatur, GA 30030-1753
Mailing address
5259 Meadowcreek Dr
Dunwoody, GA 30338-3849
Phone (770) 393-0851
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0816463 | Other | GA | UNITED HEALTH CARE INS |
| 0522968 | Other | GA | AETNA INS |
| 572149 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017845 | GA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1366434698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5259 MEADOWCREEK DR",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303383849",
"telephone_number": "770-393-0851",
"fax_number": "404-297-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WINN WAY",
"address_2": "STE 140",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301753",
"telephone_number": "404-298-5557",
"fax_number": "404-297-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFF",
"first_name": "STEPHEN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "017845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE INS",
"identifier": "0816463",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "0522968",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "572149",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.