Individual provider Active NPI

Denise M Leslie-Willams, LMT

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1811523574
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
08771 Issued in GA
Practice address
220 Sandy Springs Cir Ste 157B
Atlanta, GA 30328-3861
Phone
(404) 295-7040
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 08771 GA Primary

Addresses

Primary practice location

220 Sandy Springs Cir Ste 157B
Atlanta, GA 30328-3861

Mailing address

220 Sandy Springs Cir Ste 157B
Atlanta, GA 30328-3861
Phone (404) 295-7040

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL massage@livelifepainfree.com Direct
Other URL massage@livelifapainfree.com Direct

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

LicenseStateTypeSpecialty
08771GAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1811523574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SANDY SPRINGS CIR STE 157B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283861",
            "telephone_number": "404-295-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SANDY SPRINGS CIR STE 157B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283861",
            "telephone_number": "404-295-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE-WILLAMS",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "GA",
            "license": "08771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "massage@livelifepainfree.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "220 Sandy Springs Cir Ste 157B",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303283861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "massage@livelifapainfree.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Eamil",
            "address_1": "220 Sandy Springs Cir Ste 157B",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303283861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.