Individual provider Active NPI

Leland Sage Duddleston III, M.D.

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1912059833
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
033073 Issued in GA
Practice address
1000 Riverburch Pkwy
Dalton, GA 30721-8630
Phone
(706) 226-2273
Fax
(706) 217-6543
NPI assigned
Jan 18, 2007
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033073 GA Primary

Addresses

Primary practice location

1000 Riverburch Pkwy
Dalton, GA 30721-8630

Mailing address

1000 Riverburch Pkwy
Dalton, GA 30721-8630
Phone (706) 226-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2012 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Care, Inc PastSince Jan 1, 1990 Accepting new patients
North Georgia Surgery and Comprehensive Breast Center Specialist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1912059833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-226-2273",
            "fax_number": "706-217-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-226-2273",
            "fax_number": "706-217-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDLESTON",
        "first_name": "LELAND",
        "middle_name": "SAGE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.