Active NPI
Lesley Jill Cown, M.D., L.L.C.
- Internal Medicine Physician
- Macon, GA
National Provider Identifier
1710311790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036129
- Legal business name
- LESLEY JILL COWN, M.D., L.L.C.
- Practice address
- 4061 Vineville Ave
Macon, GA 31210-5039 - Phone
- (478) 742-8760
- Fax
- (478) 742-4561
- NPI assigned
- Aug 27, 2013
- Last updated
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy R Cobb
- Title
- Assistant Manager
- Phone
- (478) 954-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036129 | GA | Primary |
Addresses
Primary practice location
4061 Vineville Ave
Macon, GA 31210-5039
Mailing address
4061 Vineville Ave
Macon, GA 31210-5039
Phone (478) 742-8760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4061 Vineville Ave
Macon, GA 31210
Phone (478) 757-0221
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1346264702
-
- Nurse Practitioner
- Macon, GA
- NPI 1194456814
-
- Family Nurse Practitioner
- Macon, GA
- NPI 1003338195
-
- Nurse Practitioner
- Macon, GA
- NPI 1447294939
-
- Family Nurse Practitioner
- Macon, GA
- NPI 1669961272
-
- Registered Nurse
- Macon, GA
- NPI 1730609694
-
- Internal Medicine Physician
- Macon, GA
- NPI 1336058833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1710311790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 VINEVILLE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312105039",
"telephone_number": "478-742-8760",
"fax_number": "478-742-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 VINEVILLE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312105039",
"telephone_number": "478-742-8760",
"fax_number": "478-742-4561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLEY JILL COWN, M.D., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ASSISTANT MANAGER",
"authorized_official_telephone_number": "478-954-3140"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "036129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.