Eagles Landing Pediatric Associates LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

040449 Issued in GA

Legal business name

EAGLES LANDING PEDIATRIC ASSOCIATES LLC

Practice address

1101 Hospital Dr
Suite 210
Stockbridge, GA 30281-9075

Phone

(678) 289-0103

Fax

(678) 289-0171

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Steven Wayne Leard, MDNPI 1093706426

Title

Ownerphysician

Phone

(678) 289-0103

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven W Leard, M.D.

  • Pediatric Adolescent Medicine Physician
  • Stockbridge, GA
  • NPI 1093706426
  NPD (past) Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740407550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "678-289-0103",
            "fax_number": "678-289-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "678-289-0103",
            "fax_number": "678-289-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES LANDING PEDIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "678-289-0103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "040449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagles Landing Diabetes and Endocrinology
• Eagles Landing Gastroenterology P.C.
• Eagles Landing Medical Center
• Eagles Landing Multi Speciality Group,LLC
• Eagles Landing Nephrology and Hypertension LLC
• Eagles Landing Surgery, P.C.
• James Van Eaton, MD
• Joan Ebersole, OT
• Leon Forrest Echols III, R.PH.
• Audrey Melissa Eckles, PHARM.D.

• Primary Care Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.