Lori Charlotte Lebow, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000040503 Issued in GA

Practice address

2061 Beverly Rd
Gainesville, GA 30501-2034

Phone

(770) 532-4444

Fax

(770) 535-1852

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lori Charlotte Groninga Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Iowa, RJ & L Carver College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gainesville Eye Associates LLCGroup PAC ID 2860486438, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: llebow@gainesvilleeye.mdlogic.direct-ci.com

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.

• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647
  Medicare reassignment Care Compare group NPD
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Braselton, GA
  • NPI 1821875774
  NPD
• University Eye Specialists, PC

  • Ophthalmology Physician
  • Knoxville, TN
  • NPI 1316916158
  NPD (past)
• University Eye Surgeons, P.C.

  • Eyewear Supplier
  • Knoxville, TN
  • NPI 1598772964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1376652883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-535-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-535-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW",
        "first_name": "LORI",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "MD0000040503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003101473A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "GRONINGA",
            "middle_name": "CHARLOTTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thao Bich Le
• Brooke K Leachman, MD
• Keith Edwin Leap II, MD
• Mackenzie Newton Leary, CAA
• Rachel E Lebolo, AGPCNP
• Amy L Ledford, CNM
• Claire Ledford, PA-C
• Lanny Wayne Ledford, MSW, LCSW
• Morgan T Ledford
• Renee Lee-Barbacone, LCSW

• Ophthalmology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.