Active NPI
Harvey Bowen Leslie Sr., M.D.
- Pain Medicine Physician
- Decatur, GA
National Provider Identifier
1992883201
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 027597
- Practice address
- 4153 Flat Shoals Pkwy
Building a Suite 104
Decatur, GA 30034-4106 - Phone
- (404) 241-7062
- Fax
- (404) 243-0357
- NPI assigned
- Nov 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 027597 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 027597 | GA | |
| Pain Medicine Physician | 208VP0000X | 027597 | GA | Primary |
Addresses
Primary practice location
4153 Flat Shoals Pkwy
Building a Suite 104
Decatur, GA 30034-4106
Mailing address
4153 Flat Shoals Pkwy
Building a Suite 102
Decatur, GA 30034-4106
Phone (404) 241-7062
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027597 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Pain Centers | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Chiropractor
- Decatur, GA
- NPI 1639432008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1992883201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4153 FLAT SHOALS PKWY",
"address_2": "BUILDING A SUITE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344106",
"telephone_number": "404-241-7062",
"fax_number": "404-243-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153 FLAT SHOALS PKWY",
"address_2": "BUILDING A SUITE 104",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344106",
"telephone_number": "404-241-7062",
"fax_number": "404-243-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "HARVEY",
"middle_name": "BOWEN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "027597",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "027597",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "027597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.