Individual provider Active NPI

Leslie Anne Thomas, MD

  • Pediatrics Physician
  • Oxford, NC
National Provider Identifier
1891132833
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2017-00778 Issued in NC
Practice address
110 Professional Park Drive
Oxford, NC 27565
Phone
(919) 693-6541
Fax
(919) 693-7396
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017-00778 NC
Student in an Organized Health Care Education/Training Program 390200000X 191431 NC
Pediatrics Physician 208000000X 2017-00778 NC Primary

Addresses

Primary practice location

110 Professional Park Drive
Oxford, NC 27565

Mailing address

PO Box 986
Oxford, NC 27565-0986
Phone (919) 690-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170814002121 NC Practitioner - Internal Medicine 8921224486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

1614 NC Hwy 56
Creedmoor, NC 27522-8297
Phone (919) 575-6103

Hospital & facility affiliations

  • Granville Health Systems Hospital, Oxford, NC, CCN 340127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00778NCMDPediatrics Physician
191431NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health System Current Accepting new patients
Granville Health System CurrentSince Jun 1, 2024 Accepting new patients
Granville Health System Current Accepting new patients
Granville Health System CurrentSince Jun 1, 2024 Accepting new patients

Locations

1614 NC Highway 56
Creedmoor, NC 27522
Phone (919) 528-7171

1032 College St
Oxford, NC 27565
Phone (919) 693-2141

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

Interoperability endpoints

  • Direct secure messaging: lesliethomas@gvhs.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1891132833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650986",
            "telephone_number": "919-690-3000",
            "fax_number": "919-690-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL PARK DRIVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-00778",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "191431",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-00778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.