DR. DERRELL LEVOHN LEGGETT


Address: 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572
Phone: 4702515300

DR. DERRELL LEVOHN LEGGETT (NPI# 1306025630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306025630
Entity Type Individual
Full Name DR. DERRELL LEVOHN LEGGETT
Credential M.D.
Practice Address 794 Mcdonough Rd
Suite 108
Jackson
GA 30233-1572
Practice Telephone 4702515300
Practice Fax Number 4702515301
Mailing Telephone 4702515300
Mailing Fax Number 4702515301
Enumeration Date 2007-11-02
Last Update Date 2018-01-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 133964 NC Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
66346 GA Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
66346 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 003118346B 05

Office Location

Street Address 794 MCDONOUGH RD
SUITE 108
City JACKSON
State GA
Zip Code 30233-1572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558330522 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 794 Mcdonough Rd, Jackson, GA 30233-1572 2006-03-14
1740755719 Byron A Thompson Counselor 794 Mcdonough Rd, Jackson, GA 30233 2018-10-05
1750789947 Select Interventional Pain, PC Pain Medicine 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2014-12-20
1306126529 Jaimi Marie Norrell Nurse Practitioner 794 Mcdonough Rd, 111, Jackson, GA 30233-1572 2011-08-18
1992943195 Dana B Bass Burch Physician Assistant 794 Mcdonough Rd, Suite 111, Jackson, GA 30233-1572 2009-01-26
1093963944 South Georgia Treatment, Inc Clinic/Center 794 Mcdonough Rd, Jackson, GA 30233-1572 2008-09-04
1306019104 Bennie R White Jr Md Inc Clinic/Center 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 2008-04-12
1033329198 Jackson Dialysis Center Clinic/Center 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2007-05-23
1376575225 Bennie R. White Jr. Family Medicine 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366800914 Georgia Ophthalmologists LLC Durable Medical Equipment & Medical Supplies 860 W 3rd St, Jackson, GA 30233 2016-02-10
1306225057 Young Dreaden Nurse Practitioner 2978 Hwy 36w, Jackson, GA 30233 2015-05-28
1609255520 Neta J Roby Nurse Practitioner Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 2015-05-26
1033546098 Henrietta Lindsay Social Worker 463-b Ernest Biles Dr, Jackson, GA 30233 2013-10-04
1255776993 Gareth Gene Walker Technician 514 Covinton Street, Jackson, GA 30233 2013-05-08
1730489592 Mary L. Melton Licensed Practical Nurse 463 Ernest Biles Dr., Jackson, GA 30233 2010-10-27
1083864250 Chastity Moore Brown Dentist 1520 Lucky Street, Griffin, GA 30233 2008-09-24
1568661320 Joseph Fowlkes Internal Medicine 2978 Highway 36 W, Jackson, GA 30233 2007-07-12
1942386289 Butts County Board of Commissioners Ambulance 154 Sylvan Drive, Jackson, GA 30233 2006-10-30
1841238300 Jackson Pharmacy Services Pharmacy 22 Mulberry St., Jackson, GA 30233 2006-06-04
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083194237 Spectrum Pain Clinics Inc. Pain Medicine 23 Sandstone Cir, Jackson, TN 38305-2073 2018-08-17
1982141123 W.a. Foote Memorial Hospital, Inc Pain Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-26
1750789947 Select Interventional Pain, PC Pain Medicine 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 2014-12-20
1124452859 St Dominic Medical Associates LLC Pain Medicine 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4635 2013-08-29
1548522774 Neuropathy and Pain Centers of America Holding Company, LLC Pain Medicine 300 W Washington Ave, Ste. 250, Jackson, MI 49201-2180 2012-06-13
1932334828 Advanced Pain Treatment Centers, PC Pain Medicine 60 Lynoak Cv, Jackson, TN 38305-2800 2009-05-20
1003025412 Dr. Jeff Summers Pa Pain Medicine 1 Layfair Dr, Ste400, Jackson, MS 39232-9717 2007-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891302998 Apollo Spine and Pain Center Pain Medicine 4415 Front Nine Dr, Cumming, GA 30041-6063 2020-09-23
1235756792 Interventional Spine and Pain Management Center, PC Pain Medicine 2100 Central Ave Ste 6, Augusta, GA 30904-6709 2020-07-01
1902433147 Sun Pain Institute LLC Pain Medicine 836 E 65th St Ste 38, Savannah, GA 31405-4495 2020-03-26
1679107338 Atlanta Interventional Pain Management, LLC Pain Medicine 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 2020-03-02
1578193355 Regenerative Spine and Pain Specialists Pain Medicine 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 2020-01-22
1437790839 Specialty Spine and Pain, PC Pain Medicine 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 2019-10-07
1154962165 Specialty Spine and Pain, PC Pain Medicine 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 2019-10-01
1659912665 Specialty Spine and Pain, PC Pain Medicine 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 2019-10-01
1114578515 Interventional Spine and Pain Management Center, PC Pain Medicine 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 2019-09-26
1477106771 Spine Center of Southeast Georgia LLC Pain Medicine 52a Lindsey Lane, Kingsland, GA 31548-6855 2019-07-17
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Competitor

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City JACKSON
Zip Code 30233

Improve Information

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Dataset Information

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.

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