Individual provider Active NPI

David Ronald Lesch, M.D.

  • Neurology Physician
  • Suwanee, GA
National Provider Identifier
1942240932
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
031968 Issued in GA
Practice address
4385 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024-6095
Phone
(770) 814-9455
Fax
(678) 990-5846
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 031968 GA Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 031968 GA

Addresses

Primary practice location

4385 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024-6095

Mailing address

4385 Johns Creek Pkwy
Suite 230
Suwanee, GA 30024-6093
Phone (770) 314-9455

Other identifiers 8

IdentifierTypeStateIssuer
158683800OtherGADEPT OF LABOR
2533797OtherGAAETNA HMO
584005OtherGACIGNA PPO
000401739AMedicaidGA
1356410948OtherGAFACILITY NPI
163152OtherGABLUECROSS BLUESHIELD VIP
130023897OtherGARAILROAD MEDICARE
4109428OtherGAAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040601000636 GA Practitioner - NeurologyPractitioner - Sleep Medicine 8426039801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Creek Diagnostic Center LLC Current Accepting new patients
David R. Lesch, M.D., LLC Current Accepting new patients
Clinical Neuro DX, LLC Past Accepting new patients
Johns Creek Diagnostic Center, LLC Past Accepting new patients

Locations

4385 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024
Phone (770) 814-9455

6920 McGinnis Ferry Rd
Ste 300
Suwanee, GA 30024
Phone (678) 835-2299

6920 McGinnis Ferry Rd
Suwanee, GA 30024
Phone (866) 709-7976

1370 Montreal Rd
Ste 185
Tucker, GA 30084
Phone (404) 296-2088

1459 Montreal Rd
Ste 207
Tucker, GA 30084
Phone (770) 491-2622

Organizations & group practices 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1942240932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "SUITE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246093",
            "telephone_number": "770-314-9455",
            "fax_number": "678-990-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "STE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246095",
            "telephone_number": "770-814-9455",
            "fax_number": "678-990-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESCH",
        "first_name": "DAVID",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "031968",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "GA",
            "license": "031968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "158683800",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2533797",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "584005",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000401739A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1356410948",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD VIP",
            "identifier": "163152",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130023897",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4109428",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.