Individual provider Active NPI

Victor Young Leslie, MD

  • Pain Medicine Physician
  • Decatur, GA
National Provider Identifier
1629323977
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
074690 Issued in GA
Practice address
4153 Flat Shoals Pkwy
Building a Suite 102
Decatur, GA 30034-4106
Phone
(404) 241-7062
Fax
(404) 243-0357
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 074690 GA Primary
Anesthesiology Physician 207L00000X 074690 GA

Addresses

Primary practice location

4153 Flat Shoals Pkwy
Building a Suite 102
Decatur, GA 30034-4106

Mailing address

4153 Flat Shoals Pkwy
Building a Suite 102
Decatur, GA 30034-4106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170118000196 GA Practitioner - AnesthesiologyPractitioner - Pain Management 7618292889 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
South Georgia Spine and Joint Center, LLC CurrentSince Jun 2, 2025 Accepting new patients
Non-Surgical Orthopaedics PC CurrentSince Apr 1, 2023 Accepting new patients
South Georgia Spine and Joint Center, LLC Pain Medicine CurrentSince Jun 2, 2025 Accepting new patients
Advance Pain Management LLC. CurrentSince Dec 1, 2024 Accepting new patients
Non-Surgical Orthopaedics PC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2950 Stone Hogan Rd
Bldg A
Atlanta, GA 30331
Phone (404) 781-2800

517 S Scott St
Bainbridge, GA 39819
Phone (229) 416-4457

418 Bradley St
Carrollton, GA 30117
Phone (770) 214-9146

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

335 Roselane St NW
Marietta, GA 30060
Phone (770) 420-4645

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: victor.leslie.p3@direct.precisionspinecare.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIAAA
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1629323977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY",
            "address_2": "BUILDING A SUITE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY",
            "address_2": "BUILDING A SUITE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-241-7062",
            "fax_number": "404-243-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "VICTOR",
        "middle_name": "YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "074690",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "074690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.