Jonathan Leake, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

127380 Issued in NC

Practice address

201 E Grover St
Shelby, NC 28150-3917

Phone

(980) 487-3131

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Emergency Medicine

Education

Emory University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Norman Emergency Medical Associates LLCGroup PAC ID 5496927972, 8 clinicians

Caldwell Emergency Medical Associates LLCGroup PAC ID 0648207639, 19 clinicians

Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
• Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.02

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jleake663980@direct.medicine.duke.edu

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.

• Caldwell Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Lenoir, NC
  • NPI 1023074580
  Medicare reassignment Care Compare group NPD
• Lake Norman Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Mooresville, NC
  • NPI 1053690560
  Medicare reassignment Care Compare group NPD
• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735
  Medicare reassignment Care Compare group NPD
• Derive Health, PA

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1013860675
  NPD Authorized official
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment
• Carolinas Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Shelby, NC
  • NPI 1316264195
  NPD (past)

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

• Duke Health Lake Norman Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1114731064
  Care Compare affiliation
• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1417432840
  Care Compare affiliation
• The Charlotte-Mecklenburg Hospital Authority

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  Care Compare affiliation

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1740310259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SPRUCE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034332",
            "telephone_number": "704-340-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503917",
            "telephone_number": "980-487-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "127380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Robinson Lazenby, LCSW
• LDH Counseling & Consulting PLLC
• Lynne Le, FNP
• Brandy Leach, ATC
• Lead 1 Teach 1
• Steve J. Leatherwood, MA, LPC, NBCC
• Dana Leann Ledbetter
• Allison Wilkins Ledford, PT
• Justin Ledford, PHARMD
• Regina Deviney Ledford, FNP

• Emergency Medicine Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.