Individual provider Active NPI

Leslie Jeannette Macklin, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1700892536
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3690 Issued in NC
Practice address
9325 Center Lake Dr
Suite #150
Charlotte, NC 28216-0770
Phone
(704) 494-4250
Fax
(704) 494-4256
NPI assigned
Aug 1, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007772 GA
Chiropractor 111N00000X 3690 NC Primary

Addresses

Primary practice location

9325 Center Lake Dr
Suite #150
Charlotte, NC 28216-0770

Mailing address

9325 Center Lake Dr
Suite #150
Charlotte, NC 28216-0770
Phone (704) 494-4250

Other names 1

  • Dr. Leslie Jeannette Mosbey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071103000069 NC Practitioner - Chiropractic 1355342429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Family Group LLCGroup PAC ID 9234679333, 2 clinicians

Practice addresses (Care Compare)

9325 Ctr Lake Dr
Suite 150
Charlotte, NC 28216-0785
Phone (704) 494-4250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3690NCMDProfessional Counselor
CHIR007772GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Family Group LLC CurrentSince Oct 29, 2024 Accepting new patients

Locations

9325 Center Lake Dr
Ste 150
Charlotte, NC 28216
Phone (704) 494-4250

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1700892536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 CENTER LAKE DR",
            "address_2": "SUITE #150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160770",
            "telephone_number": "704-494-4250",
            "fax_number": "704-494-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 CENTER LAKE DR",
            "address_2": "SUITE #150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160770",
            "telephone_number": "704-494-4250",
            "fax_number": "704-494-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "LESLIE",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007772",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MOSBEY",
            "middle_name": "JEANNETTE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.