Individual provider Active NPI

Eleisha Teasley Bell, DO

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1477136349
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
100828 Issued in GA
Practice address
11315 Johns Creek Pkwy Ste 340
Johns Creek, GA 30097-2646
Phone
(770) 709-6922
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100828 GA Primary

Addresses

Primary practice location

11315 Johns Creek Pkwy Ste 340
Johns Creek, GA 30097-2646

Mailing address

11315 Johns Creek Pkwy Ste 340
Johns Creek, GA 30097-2646
Phone (770) 709-6922

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240904003071 GA Practitioner - Family Practice 0547662652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pandya Medical Center IncGroup PAC ID 8022249028, 15 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 340
Johns Creek, GA 30097-2646
Phone (770) 709-6922

901 Haymon Morris Rd
Winder, GA 30680-7837
Phone (678) 705-2123

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Medical Center, Inc Family Medicine CurrentSince Aug 14, 2024 Accepting new patients

Locations

11975 Morris Rd
Ste 210
Alpharetta, GA 30005
Phone (770) 664-0088

5670 Old Winder Hwy
Ste 101
Braselton, GA 30517
Phone (770) 709-6922

3970 Dep Bill Cantrell Memorial Rd
Ste 220
Cumming, GA 30040
Phone (678) 984-3151

3970 Deputy Bill Cantrell Mem
Ste 220
Cumming, GA 30040
Phone (770) 709-6922

601 Professional Dr
Ste 220
Lawrenceville, GA 30046
Phone (770) 339-4526

Interoperability endpoints

  • Direct secure messaging: eleisha.bell.1@16555.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eleisha.bell.1@8348.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1477136349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 JOHNS CREEK PKWY STE 340",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972646",
            "telephone_number": "770-709-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 JOHNS CREEK PKWY STE 340",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972646",
            "telephone_number": "770-709-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "ELEISHA",
        "middle_name": "TEASLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "100828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.