Active NPI
Victor Young Leslie, MD
- Pain Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 074690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Gi Anesthesia of Georgia LLC | Anesthesiology | Current | Accepting new patients |
| South Georgia Spine and Joint Center, LLC | Current | Accepting new patients | |
| Non-Surgical Orthopaedics PC | Current | Accepting new patients | |
| South Georgia Spine and Joint Center, LLC | Pain Medicine | Current | Accepting new patients |
| Advance Pain Management LLC. | Current | Accepting new patients | |
| Non-Surgical Orthopaedics PC | Anesthesiology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- victor.leslie.p3@direct.precisionspinecare.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/AJIAAA
- 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.
-
- Adult Health Nurse Practitioner
- Atlanta, GA
- NPI 1013213073
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Anesthesiology
-
- Specialist
- Marietta, GA
- NPI 1871656561
-
- Family Medicine Physician
- Thomasville, GA
- NPI 1770815250
-
- Pain Medicine Physician
- Bainbridge, GA
- NPI 1114301611
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.