LEEWAY MEDICAL GROUP, PC (NPI# 1639350515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639350515 |
| Entity Type | Organization |
| Organization Name | LEEWAY MEDICAL GROUP, PC |
| Practice Address |
1665 Waterway Xing Sw Atlanta GA 30331-8060 |
| Practice Telephone | 6784786031 |
| Practice Fax Number | 4046291492 |
| Mailing Telephone | 6784786031 |
| Mailing Fax Number | 4046291492 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | DR. MARVIN LEE III (OWNER) |
| Authorized Official Telephone | 6784786031 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Street Address |
1665 WATERWAY XING SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
| 1124171061 | Jennifer Lee Carlson | Legal Medicine | 4484 Peachtree Rd Ne, Atlanta, GA 30319-2737 | 2007-01-22 |
| 1700974631 | Premium Medical Care,llc | Legal Medicine | 233 Mitchell St Sw, Suite 300, Atlanta, GA 30303-3304 | 2006-10-10 |
| 1033219159 | Geoffrey David Diek | Legal Medicine | 4145 North Gloucester Place, Atlanta, GA 30341-1249 | 2006-09-25 |
| 1073925970 | Bj Med Clinic LLC | Legal Medicine | 340 Boulevard Ne Ste 318, Atlanta, GA 30312-1283 | 2014-05-27 |
| 1073956546 | Janice K, Hogue Kinahan, Np | Legal Medicine | 7938 Stratford Ln, Atlanta, GA 30350-4159 | 2013-04-15 |
| 1952676496 | Gwinnett Clinic | Legal Medicine | 3340 Peachtree Rd Ne, Ste 2025, Atlanta, GA 30326-1000 | 2012-03-16 |
| 1588896443 | Premiere Rehab Center L.L.C. | Legal Medicine | 3286 Buckeye Rd Ste 102, 777 Cleveland Ave #406, Atlanta, GA 30341-4228 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
| 1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
| 1205967312 | Occupational Medicine of Columbus | Legal Medicine | 7301 N Lake Dr, Columbus, GA 31909-2788 | 2007-03-08 |
| 1114056082 | Joseph L Burton | Legal Medicine | 13784 Highway 9 N, Alpharetta, GA 30004-3645 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.