Individual provider Active NPI

Harvey C. Lebos, M.D.

  • Hematology & Oncology Physician
  • Savannah, GA
National Provider Identifier
1962416891
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
015953 Issued in GA
Practice address
4700 Waters Ave
Suite a
Savannah, GA 31404-6220
Phone
(912) 354-6187
Fax
(912) 355-9807
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 015953 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Suite a
Savannah, GA 31404-6220

Mailing address

5400 Sutlive St
Savannah, GA 31405-4721
Phone (912) 354-6187

Other practice location 1

8 Okatie Center Blvd S Ste 201
Okatie, SC 29909-7543
Phone (843) 705-4848

Other practice location 2

459 Highway 119 S Ste B
Springfield, GA 31329-3021
Phone (912) 354-6187

Other practice location 3

225 Candler Dr
Savannah, GA 31405-6023
Phone (912) 354-6187

Other practice location 4

16741 Highway 67 Ste B
Statesboro, GA 30458-2529
Phone (912) 354-6187

Other identifiers 5

IdentifierTypeStateIssuer
015953OtherGAMEDICAL LICENSE
150605MedicaidSC
000040532GMedicaidGA
000040532AMedicaidGA
000040532EMedicaidGA

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015953GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962416891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SUTLIVE ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054721",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Okatie Center Blvd S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097543",
            "country_code": "US",
            "telephone_number": "843-705-4848",
            "fax_number": "912-354-9807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Candler Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056023",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16741 Highway 67 Ste B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582529",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBOS",
        "first_name": "HARVEY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "015953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "015953",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150605",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000040532G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000040532A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000040532E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.