Active NPI
Albert G Leroy Jr., M.D.
- Urology Physician
- Rock Hill, SC
National Provider Identifier
1912970484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 6625
- Practice address
- 1780 Medical Park Dr
Rock Hill, SC 29732-1194 - Phone
- (803) 327-1116
- Fax
- (803) 327-6872
- NPI assigned
- Feb 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 6625 | SC | Primary |
| Urology Physician | 208800000X | 30198 | NC |
Addresses
Primary practice location
1780 Medical Park Dr
Rock Hill, SC 29732-1194
Mailing address
9735 Kincey Ave
Suite 201
Huntersville, NC 28078-9118
Phone (704) 414-2870
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066252 | Medicaid | SC | |
| 279869 | Other | SC | MAMSI |
| 760688 | Other | SC | GREAT WEST HLTHCARE |
| 0411169 | Other | SC | AETNA |
| 26995 | Other | SC | MEDCOST |
| 89136H1 | Medicaid | NC | |
| 136H1 | Other | NC | BCBS OF NC |
| 1905788 | Other | SC | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6625 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Institute of the Carolinas LLC | Urology | Past | Accepting new patients |
| Carolina Urology Center, PA | Urology | 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 and National Provider Directory roles.
-
- Urology Physician
- Rock Hill, SC
- NPI 1366467250
-
- Urology Physician
- Davidson, NC
- NPI 1457377954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1912970484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "SUITE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789118",
"telephone_number": "704-414-2870",
"fax_number": "704-414-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 MEDICAL PARK DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321194",
"telephone_number": "803-327-1116",
"fax_number": "803-327-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "ALBERT",
"middle_name": "G",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "6625",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "30198",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066252",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "279869",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HLTHCARE",
"identifier": "760688",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0411169",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "26995",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89136H1",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "136H1",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1905788",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.