Individual provider Active NPI

Leslie Horn Clark, MD

  • Gynecologic Oncology Physician
  • Chapel Hill, NC
National Provider Identifier
1518286061
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
2017-00702 Issued in NC
Practice address
101 Manning Dr
Department OB/GYN, CB# 7570
Chapel Hill, NC 27514-4220
Phone
(919) 966-5671
Fax
(919) 843-6691
NPI assigned
May 24, 2010
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 164935 NC
Gynecologic Oncology Physician 207VX0201X 2017-00702 NC Primary

Addresses

Primary practice location

101 Manning Dr
Department OB/GYN, CB# 7570
Chapel Hill, NC 27514-4220

Mailing address

101 Manning Dr
Department OB/GYN, CB# 7570
Chapel Hill, NC 27514-4220
Phone (919) 966-5671

Other practice location 1

4420 Lake Boone Trl Ste 201
Raleigh, NC 27607-7505
Phone (919) 784-3542

Other names 1

  • Leslie Fintel Horn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170919003130 NC Practitioner - Obstetrics/Gynecology 7911121405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00702NCMDGynecologic Oncology Physician
164935NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
Rex Hospital, Inc CurrentSince Sep 1, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 11, 2017 Accepting new patients
Rex Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 9, 2017 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 11, 2017 Accepting new patients
Park Ophthalmology Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#7570
Chapel Hill, NC 27514
Phone (919) 966-4150

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Ste 201
Raleigh, NC 27607
Phone (919) 784-1097

Interoperability endpoints

  • Direct secure messaging: lclark16751@direct.unc.nchie.net

Organizations & group practices 8

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 2

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1518286061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "DEPARTMENT OB/GYN, CB# 7570",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-5671",
            "fax_number": "919-843-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "DEPARTMENT OB/GYN, CB# 7570",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-5671",
            "fax_number": "919-843-6691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LESLIE",
        "middle_name": "HORN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "164935",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NC",
            "license": "2017-00702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HORN",
            "middle_name": "FINTEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.