Individual provider Active NPI

Leonidas Panagiotakopoulos

  • Pediatric Endocrinology Physician
  • Decatur, GA
National Provider Identifier
1831499409
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
67712 Issued in GA
Practice address
809 Church St
Decatur, GA 30030-1870
Phone
(404) 445-0350
Fax
(877) 480-9635
NPI assigned
Oct 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 67712 GA Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 67712 GA

Addresses

Primary practice location

809 Church St
Decatur, GA 30030-1870

Mailing address

PO Box 9
Maplewood, NJ 07040-0009
Phone (404) 445-0350

Other practice location 1

PO Box 9
Maplewood, NJ 07040-0009
Phone (404) 445-0350

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://queermed.com/
CONNECT URL https://queermed.com/appointment-process/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502002727 GA Practitioner - Pediatric MedicinePractitioner - Endocrinology 8325332307 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Qmed, LLC Single Specialty CurrentSince Apr 19, 2022 Accepting new patients
Emergency Coverage, LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

215 Church St
Ste 102
Decatur, GA 30030
Phone (404) 229-6701

809 Church St
Decatur, GA 30030
Phone (404) 445-0350

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

Interoperability endpoints

  • Direct secure messaging: lpanagiotakopoulos2946056@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1831499409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070400009",
            "telephone_number": "404-445-0350",
            "fax_number": "877-480-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301870",
            "telephone_number": "404-445-0350",
            "fax_number": "877-480-9635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 9",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070400009",
            "country_code": "US",
            "telephone_number": "404-445-0350",
            "fax_number": "877-480-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANAGIOTAKOPOULOS",
        "first_name": "LEONIDAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "67712",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "67712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://queermed.com/",
            "affiliation": "N",
            "address_1": "215 Church St Ste 102",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300303330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://queermed.com/appointment-process/",
            "affiliation": "N",
            "address_1": "215 Church St Ste 102",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300303330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.