Active NPI
Leslie Bennett Dowling, DPM
- Foot & Ankle Surgery Podiatrist
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001151
- Practice address
- 545 Knight Ave
Waycross, GA 31501-3354 - Phone
- (912) 490-3668
- Fax
- (912) 490-5577
- NPI assigned
- Dec 21, 2011
- Last updated
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001151 | GA | Primary |
Addresses
Primary practice location
545 Knight Ave
Waycross, GA 31501-3354
Mailing address
545 Knight Ave
Waycross, GA 31501-3354
Phone (912) 490-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003126292B | Medicaid | GA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Knight Ave
Waycross, GA 31501-3354
Phone (912) 490-3668
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.6 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 269 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 616 |
| Removal or shaving of skin growth | 96 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001151 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satilla Foot and Ankle, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Associates, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Associates, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2005 Pioneer St
Ste A
Waycross, GA 31501
Phone (912) 287-1621
501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471
545 Knight Ave
Waycross, GA 31501
Phone (912) 285-0020
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFBDA
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Waycross, GA
- NPI 1063777340
-
- Foot & Ankle Surgery Podiatrist
- Waycross, GA
- NPI 1356492599
-
- Foot & Ankle Surgery Podiatrist
- Waycross, GA
- NPI 1184555211
-
- Foot & Ankle Surgery Podiatrist
- Orange Park, FL
- NPI 1619444965
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1699044529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 KNIGHT AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315013354",
"telephone_number": "912-490-3668",
"fax_number": "912-490-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 KNIGHT AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315013354",
"telephone_number": "912-490-3668",
"fax_number": "912-490-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLING",
"first_name": "LESLIE",
"middle_name": "BENNETT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003126292B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.