Active NPI
Phuong Binh Le, MD
- Allergy & Immunology Physician
- Peachtree City, GA
National Provider Identifier
1912587650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 113696
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210609000861 | TN | Order and Referring Only - 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
| License | State | Type | Specialty |
|---|---|---|---|
| 70920 | TN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Allergy and Asthma Southern Crescent | Allergy & Immunology | Current | Accepting new patients |
| Center for Allergy & Asthma of Georgia PC | Allergy & Immunology | Current | 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.
-
- Allergy & Immunology Physician
- Villa Rica, GA
- NPI 1578504536
-
- Allergy & Immunology Physician
- Peachtree City, GA
- NPI 1750902185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.