Individual provider Active NPI

Deborah Ann Kovalick-Leggett, R

  • Radiography Radiologic Technologist
  • Macon, GA
National Provider Identifier
1801807201
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
314047
Practice address
1504 Hardeman Ave
Suite B
Macon, GA 31201-1416
Phone
(478) 745-3135
Fax
(478) 745-3136
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 314047
Radiography Radiologic Technologist 2471C3402X 314047 Primary

Addresses

Primary practice location

1504 Hardeman Ave
Suite B
Macon, GA 31201-1416

Mailing address

4149 Juliette Rd
Juliette, GA 31046-4700
Phone (478) 994-2772

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians MRI Inc PastSince Jul 1, 2001 Accepting new patients

Organizations & group practices 1

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801807201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 JULIETTE RD",
            "city": "JULIETTE",
            "state": "GA",
            "postal_code": "310464700",
            "telephone_number": "478-994-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HARDEMAN AVE",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011416",
            "telephone_number": "478-745-3135",
            "fax_number": "478-745-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALICK-LEGGETT",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "314047",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": "314047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.