Individual provider Active NPI

Phuong Binh Le, MD

  • Allergy & Immunology Physician
  • Peachtree City, GA
National Provider Identifier
1912587650
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
113696 Issued in GA
Practice address
1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4796
Phone
(770) 459-0620
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 113696 GA Primary

Addresses

Primary practice location

1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4796

Mailing address

1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4796
Phone (770) 459-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210609000861 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092115360

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Northridge Rd
Suite 400
Atlanta, GA 30350-3314

PO Box
New York, NY 10087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70920TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Allergy and Asthma Southern Crescent Allergy & Immunology CurrentSince Jun 22, 2026 Accepting new patients
Center for Allergy & Asthma of Georgia PC Allergy & Immunology CurrentSince Jun 22, 2026 Accepting new patients

Locations

223 W College St
Griffin, GA 30224

1975 Highway 54 W
Ste 255
Peachtree City, GA 30269

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1912587650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 255",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694796",
            "telephone_number": "770-459-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 255",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694796",
            "telephone_number": "770-459-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUONG",
        "middle_name": "BINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "113696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.