Individual provider Active NPI

Lance D McLeroy, MD

  • Gastroenterology Physician
  • Athens, GA
National Provider Identifier
1508279332
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
105058 Issued in GA
Practice address
658 N Chase St Ste 201
Athens, GA 30601-1960
Phone
(706) 389-7804
Fax
(762) 208-2209
NPI assigned
Jun 10, 2014
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 105058 GA Primary

Addresses

Primary practice location

658 N Chase St Ste 201
Athens, GA 30601-1960

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmcleroy4456220@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200827003247 SC Practitioner - Gastroenterology 4385866235 Reassigns benefits to 1 organization
I20250829000316 GA Practitioner - Gastroenterology 4385866235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

3308 Brushy Creek Rd
Greer, SC 29650-1002
Phone (864) 752-2000

658 N Chase St
Suite 201
Athens, GA 30601-1960
Phone (706) 769-3362

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105058GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
St. Mary's Medical Group, Inc. CurrentSince Sep 15, 2025 Accepting new patients
St Mary's Medical Group, Inc Current Accepting new patients
St. Mary's Medical Group, Inc. Gastroenterology CurrentSince Sep 15, 2025 Accepting new patients
Athens Internal Medicine PC Internal Medicine Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

3308 Brushy Creek Rd
Greer, SC 29650
Phone (864) 752-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lmcleroy4456220@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1508279332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 N CHASE ST STE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011960",
            "telephone_number": "706-389-7804",
            "fax_number": "762-208-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEROY",
        "first_name": "LANCE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "105058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmcleroy4456220@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "SMGA Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "658 N Chase St Ste 201",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306011960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.