Active NPI
Grace Leu, M.D.
- Otolaryngology Physician
- Atlanta, GA
National Provider Identifier
1366627069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 055254
- Practice address
- 1365A Clifton Rd NE
RM A2316
Atlanta, GA 30322-1013 - Phone
- (404) 778-3381
- NPI assigned
- Jan 1, 2008
- Last updated
- Jan 1, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 055254 | GA | Primary |
Addresses
Primary practice location
1365A Clifton Rd NE
RM A2316
Atlanta, GA 30322-1013
Mailing address
1101 Juniper St NE
Ste 505
Atlanta, GA 30309-7631
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 |
|---|---|---|---|
| 104297 | CA | MD | Dentist |
| 055254 | GA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199145600000",
"number": "1366627069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 JUNIPER ST NE",
"address_2": "STE 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303097631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365A CLIFTON RD NE",
"address_2": "RM A2316",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEU",
"first_name": "GRACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-01",
"last_updated": "2008-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "055254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.