Individual provider Active NPI

Leticia Anne Lindsey, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1730217381
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67858 Issued in GA
Practice address
240 N Highland Ave NE Ste E
Atlanta, GA 30307-5627
Phone
(404) 524-2424
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67858 GA Primary
Family Medicine Physician 207Q00000X 42252 TN

Addresses

Primary practice location

240 N Highland Ave NE Ste E
Atlanta, GA 30307-5627

Mailing address

240 N Highland Ave NE Ste E
Atlanta, GA 30307-5627
Phone (404) 524-2424

Other practice location 1

1325 Eastmoreland Ave
Suite 150
Memphis, TN 38104-3519
Phone (901) 725-0648

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090522000243 TN Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 9133278062 Reassigns benefits to 2 organizations
I20200225003060 GA Practitioner - Family Practice 9133278062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67858GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Dec 1, 2011 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Dec 1, 2009 Accepting new patients
Methodist Heatlhcare Community Care Associates CurrentSince Dec 1, 2009 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

5440 Hillandale Dr
Lithonia, GA 30058
Phone (770) 322-2716

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1730217381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N HIGHLAND AVE NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075627",
            "telephone_number": "404-524-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N HIGHLAND AVE NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075627",
            "telephone_number": "404-524-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043519",
            "country_code": "US",
            "telephone_number": "901-725-0648",
            "fax_number": "901-725-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "LETICIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-01-18",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67858",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "42252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5440 Hillandale Dr",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300584865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.