Active NPI
Leland Seth Fleming, ATC
- Athletic Trainer
- Loganville, GA
National Provider Identifier
1760906341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- PENDING
- Practice address
- 3440 Highway 81
Loganville, GA 30052-9112 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | PENDING | GA | Primary |
Addresses
Primary practice location
3440 Highway 81
Loganville, GA 30052-9112
Mailing address
1765 Old West Broad St
BLDG 2 Ste 200
Athens, GA 30606-2853
Phone (706) 549-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | GA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1760906341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST",
"address_2": "BLDG 2 STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062853",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 HIGHWAY 81",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300529112",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "LELAND",
"middle_name": "SETH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.