Active NPI
Leon R Gross, M.D.
- Ophthalmology Physician
- Sandy Springs, GA
National Provider Identifier
1609873199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 016351
- Practice address
- 5995 Barfield Rd
Sandy Springs, GA 30328-4411 - Phone
- (404) 256-1507
- Fax
- (404) 256-1981
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 016351 | GA | Primary |
Addresses
Primary practice location
5995 Barfield Rd
Sandy Springs, GA 30328-4411
Mailing address
5901A Peachtree Dunwoody Rd NE
Ste 500
Atlanta, GA 30328-5382
Phone (678) 892-2020
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02874 | Other | GA | COVENTRY PPO |
| 582209517 | Other | GA | WORK COMP |
| 4278685 | Other | GA | AETNA |
| 474665 | Other | GA | AETNA HMO |
| 00094212G | Medicaid | GA | |
| 294526 | Other | GA | WELLCARE |
| 890558 | Other | GA | UHC |
| 442816 | Other | GA | BCBS |
| 180021438 | Other | GA | RR MEDICARE |
| 5241 | Other | GA | COVENTRY HMO |
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 |
|---|---|---|---|
| 016351 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1609873199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901A PEACHTREE DUNWOODY RD NE",
"address_2": "STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285382",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 BARFIELD RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284411",
"telephone_number": "404-256-1507",
"fax_number": "404-256-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "LEON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "016351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY PPO",
"identifier": "02874",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "582209517",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4278685",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "474665",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00094212G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "294526",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "890558",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "442816",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180021438",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HMO",
"identifier": "5241",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.