Active NPI
Lawrence Lefkoff, M.D.
- Plastic and Reconstructive Surgery Physician
- Atlanta, GA
National Provider Identifier
1861511230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 027594
- Practice address
- 755 Mount Vernon Hwy Ste 520
Atlanta, GA 30328-4280 - Phone
- (404) 705-8080
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 027594 | GA | Primary |
Addresses
Primary practice location
755 Mount Vernon Hwy Ste 520
Atlanta, GA 30328-4280
Mailing address
755 Mount Vernon Hwy Ste 520
Atlanta, GA 30328-4280
Phone (404) 705-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027594 | Other | GA | 027594 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160624000464 | GA | Order and Referring Only - Plastic and Reconstructive Surgery | 7719278530 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861511230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HWY STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284280",
"telephone_number": "404-705-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HWY STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284280",
"telephone_number": "404-705-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFKOFF",
"first_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "027594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "027594",
"identifier": "027594",
"state": "GA"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.