Thomas K Leggett Jr, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10558 Issued in GA

Practice address

718 N Broad St
Cairo, GA 39828-1607

Phone

(229) 377-4204

Fax

(229) 377-7753

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Associates of Southwest Georgia, LLC

  • General Practice Dentistry
  • Cairo, GA
  • NPI 1104843861

  General Practice

  NPD (past) Authorized official
• Jennifer W. Kendrick DMD, LLC

  • General Practice Physician
  • Cairo, GA
  • NPI 1124845730
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366463960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281607",
            "telephone_number": "229-377-4204",
            "fax_number": "229-377-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281607",
            "telephone_number": "229-377-4204",
            "fax_number": "229-377-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT JR",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Nichole Lee, FNP-C
• Martha V Lee
• Tyler Lee, PT
• Brittany Leeks
• Noemi Lefranc Matta, M.D.
• Eric M Lehman, M.D.
• Lifeway Training Institute Co
• Brittni Nicole Linton
• Robyn Ashley Long, D.O.
• Lumis C. Brown DDS

• All providers in Cairo, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.