Active NPI
Harvey C. Lebos, M.D.
- Hematology & Oncology Physician
- Savannah, GA
National Provider Identifier
1962416891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 015953
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015953 | Other | GA | MEDICAL LICENSE |
| 150605 | Medicaid | SC | |
| 000040532G | Medicaid | GA | |
| 000040532A | Medicaid | GA | |
| 000040532E | Medicaid | GA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015953 | GA | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.