Active NPI
Ronald Legree Jr.
- Social Worker
- Savannah, GA
National Provider Identifier
1417306325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 27 Gerald Dr
Savannah, GA 31406-2923 - Phone
- (912) 755-0450
- NPI assigned
- Jun 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | GA | Primary |
Addresses
Primary practice location
27 Gerald Dr
Savannah, GA 31406-2923
Mailing address
27 Gerald Dr
Savannah, GA 31406-2923
Phone (912) 755-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Medicaid | GA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1417306325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GERALD DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062923",
"telephone_number": "912-755-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GERALD DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062923",
"telephone_number": "912-755-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGREE",
"first_name": "RONALD",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171M00000X",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.