Active NPI
Leslie Carol Norman, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1477654390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 026608
- Practice address
- 1830 Independence SQ
Suite B
Atlanta, GA 30338-5165 - Phone
- (770) 454-8114
- Fax
- (770) 454-8597
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 026608 | GA | Primary |
Addresses
Primary practice location
1830 Independence SQ
Suite B
Atlanta, GA 30338-5165
Mailing address
1830 Independence SQ
Suite B
Atlanta, GA 30338-5165
Phone (770) 454-8114
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 |
|---|---|---|---|
| 026608 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1477654390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 INDEPENDENCE SQ",
"address_2": "SUITE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385165",
"telephone_number": "770-454-8114",
"fax_number": "770-454-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 INDEPENDENCE SQ",
"address_2": "SUITE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385165",
"telephone_number": "770-454-8114",
"fax_number": "770-454-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "LESLIE",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "026608",
"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 Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.