Active NPI
James Leake
- Plastic and Reconstructive Surgery Physician
- Marietta, GA
National Provider Identifier
1831578699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 026144
- Legal business name
- JAMES LEAKE
- Practice address
- 120 Vann St NE
Suite 150
Marietta, GA 30060-7357 - Phone
- (770) 421-1242
- Fax
- (770) 424-6652
- NPI assigned
- May 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James E Leake, M.D.
- Title
- M.D.
- Phone
- (770) 421-1242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 026144 | GA | Primary |
Addresses
Primary practice location
120 Vann St NE
Suite 150
Marietta, GA 30060-7357
Mailing address
120 Vann St NE
Suite 150
Marietta, GA 30060-7357
Phone (770) 421-1242
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Marietta, GA
- NPI 1356334825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1831578699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 VANN ST NE",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607357",
"telephone_number": "770-421-1242",
"fax_number": "770-424-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 VANN ST NE",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607357",
"telephone_number": "770-421-1242",
"fax_number": "770-424-6652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES LEAKE",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "LEAKE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "770-421-1242",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "026144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.