Leslie A Mashburn, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

004946 Issued in GA

Practice address

2311 Lake Park Dr
Albany, GA 31707-3183

Phone

(229) 435-0525

Fax

(229) 434-9827

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie A Golden Former name

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leslie.mashburn.1@8478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464

  GA

  Medicare reassignment Care Compare group NPD
• Regional Health Group Inc

  • Orthopaedic Surgery Physician
  • Albany, GA
  • NPI 1346210705

  GA

  Medicare reassignment
• Interventional Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Albany, GA
  • NPI 1568003481
  NPD
• Phoebe Orthopedic Specialists

  • Clinic/Center
  • Albany, GA
  • NPI 1871891127
  NPD
• Chatham Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1366495814
  NPD (past)

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

• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1720128218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71367",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081367",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE PARK DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073183",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "004946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GOLDEN",
            "middle_name": "A",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Jason Martin, M.D.
• Jason Benson Martin, DPT
• Leah Martin, ACNP-AG
• Quintavius Martin
• James Mashburn, PT
• Douglas Eugene Masini, RRT-ACCS, AE-C
• Octavious D Mathis
• Christopher Stephen Matthews, DO
• Josiah S Matthews IV, MD
• Bennie Cecilia Mattox

• All providers in Albany, GA
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.

Verify at the official NPI Registry.