Individual provider Active NPI

Leslie Bennett Dowling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waycross, GA
National Provider Identifier
1699044529
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001151 Issued in GA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003126292BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000640 GA Practitioner - Podiatry 5193981728 Reassigns benefits to 2 organizations

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
Satilla Foot and Ankle, LLCGroup PAC ID 4284890815, 3 clinicians

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 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of skin lesions1-10
Removal of nail tissue616
Removal or shaving of skin growth96
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001151GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Satilla Foot and Ankle, LLC Foot & Ankle Surgery CurrentSince Jul 13, 2012 Accepting new patients
Ankle & Foot Associates, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2022 Accepting new patients
Ankle and Foot Associates, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.