Active NPI
Leland Sage Duddleston III, M.D.
- Internal Medicine Physician
- Dalton, GA
National Provider Identifier
1912059833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 033073
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Care, Inc | Past | 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.
-
- Specialist
- Dalton, GA
- NPI 1982861209
-
- Family Medicine Physician
- Dalton, GA
- NPI 1871636357
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.