Active NPI
Enoch Leung, MD, PHD
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1386030260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 88942
- Practice address
- 1400 Tullie Rd NE FL 6
Atlanta, GA 30329-2309 - Phone
- (404) 785-5437
- Fax
- (404) 785-3808
- NPI assigned
- Apr 8, 2015
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 88942 | GA | Primary |
Addresses
Primary practice location
1400 Tullie Rd NE FL 6
Atlanta, GA 30329-2309
Mailing address
1400 Tullie Rd NE FL 6
Atlanta, GA 30329-2309
Phone (404) 785-5437
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88942 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottish Rite Children'S Medical Center | Past | Accepting new patients | |
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Interoperability endpoints
- eleung556398@direct.hfhs.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1386030260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TULLIE RD NE FL 6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292309",
"telephone_number": "404-785-5437",
"fax_number": "404-785-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TULLIE RD NE FL 6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292309",
"telephone_number": "404-785-5437",
"fax_number": "404-785-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "ENOCH",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2022-02-17",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "88942",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "1400 Tullie Rd NE Fl 6",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303292309",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.