Leeway Medical Group, PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

LEEWAY MEDICAL GROUP, PC

Practice address

1665 Waterway Xing SW
Atlanta, GA 30331-8060

Phone

(678) 478-6031

Fax

(404) 629-1492

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Lee III, MD

Title

Owner

Phone

(678) 478-6031

Specialties & licenses 1

Addresses

Tax ID family

Leeway Medical Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leeway Medical Group, P.C.

  • Internal Medicine Physician
  • Douglasville, GA
  • NPI 1598857229
  NPD tax ID

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1639350515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 WATERWAY XING SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318060",
            "telephone_number": "678-478-6031",
            "fax_number": "404-629-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 WATERWAY XING SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318060",
            "telephone_number": "678-478-6031",
            "fax_number": "404-629-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWAY MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-478-6031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Leef, DNP, CPNP
• Scott James Leenan, LPC
• Naamah Leerdam, BCBA
• Lees Family Pharmacy LLC (Lee's Family Pharmacy)
• Ella Bialko Leeth
• Carly Lefar
• Jeffrey A Lefeber, PA-C
• Diane Lefebvre, MD
• Amanda Lefevers
• Ashley Suzanne Lefevre, MD

• Legal Medicine in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.