Robert Wayne Leslie, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000556 Issued in GA

Practice address

1706 Magnolia Way
Augusta, GA 30909

Phone

(706) 210-7529

Fax

(706) 312-7613

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1717/brand/1/csg/1/fhir/r4

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.

• Sports Medicine Associates of Augusta, LLC

  dba Champion Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1043351703
  NPD (past)
• Sports Medicine Associates of Augusta, LLC

  dba Champion Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1255565503
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1518982529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 PINE HOLLOW DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039691",
            "telephone_number": "803-643-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Leonard III, PHARMD
• Kaythrine Ramp Leonard, NP
• Carlee Nicole Leopard, CPNP
• Cheryl Ann Leslie, M.D.
• Maegan Leslie, PHARMD
• Tricia Ann Leslie, ATC
• Maite Lestayo, DMD
• Amelia Letts
• Christopher Leung
• Nicollette Page Leung, MD

• Athletic Trainer in Augusta, GA
• Providers in Augusta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.