Legacy Health PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LEGACY HEALTH PA

Practice address

3049 Senna Dr
Matthews, NC 28105-6727

Phone

(980) 339-5155

Fax

(980) 216-8522

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jerby, MDNPI 1609867993

Title

Lead Physician

Phone

(980) 339-5155

Specialties & licenses 1

Addresses

Other names 1

• Legacy Health Doing business as

Electronic endpoints 1

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 2

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

• Brian Leroy Jerby, M.D.

  • Colon & Rectal Surgery Physician
  • Charlotte, NC
  • NPI 1609867993
  NPD (past) Authorized official
• Susan Heather Jerby, AGNP-C

  • Nurse Practitioner
  • Matthews, NC
  • NPI 1215561097
  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1780147108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "980-339-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "980-339-5155",
            "fax_number": "980-216-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "JERBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "980-339-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjerby@legacyhealthmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3049 Senna Dr",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281056727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legacy Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ann Leddy, LCSW
• Paul Alistaire Ledford
• Antigone L Lee
• Samantha Olivia Lee
• Zachary Lee, MSW, LCSWA
• Matthew Evan Leibman, D.C.
• Brielle Mickela Leister
• Nicole Lenzinger, RPH
• Brian Leriche, PT, DPT
• Charity Lesh, BA

• Health Service Clinic/Center in Matthews, NC
• Providers in Matthews, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.