Leroy Jackson
LEGACY CARE LLC


Address: 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Phone: 7572220300

Leroy Jackson (NPI# 1477633980, PAC ID# 3173711041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.

Physician Overview

Nation Provider ID (NPI) 1477633980
PAC ID by PECOS 3173711041
Professional Enrollment ID I20130325000548
Full Name Leroy Jackson
Organization Legal Name LEGACY CARE LLC
Address 2900 Sabre St
Suite 300
Virginia Beach
VA 23452-7380
Phone Number 7572220300
Gender M
Medical School MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty ENDOCRINOLOGY
Group Practice PAC ID 0042458200
Number of Group Practice Members 63
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490007 SENTARA NORFOLK GENERAL HOSPITAL
490057 SENTARA VIRGINIA BEACH GENERAL HOSPITAL
490017 BON SECOURS MARYVIEW MEDICAL CENTER

Other Locations

Address Phone Organization
2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380 7572220300 LEGACY CARE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 12%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96%

Organization Information

Organization Legal Name LEGACY CARE LLC
Physicians 105

Physicians with the same organization

Name Specialty Organization Address
Helen L Cruz Nurse Practitioner Legacy Care LLC 1840 Reisterstown Rd, Pikesville, MD 21208-1305
Harsukh Panchabhai Patolia Internal Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Tonja L Gadsden Internal Medicine Legacy Care LLC 1015 15th St Nw, Suite 1000, Washington, DC 20005-2621
Sidney Nelson Iii Internal Medicine Legacy Care LLC 1840 Reisterstown Rd, Pikesville, MD 21208-1305
Ralph D Hellams Jr. Family Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Tracy T Germaine Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Judith L Albert Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Elizabeth Peters Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Philip C Boulanger General Practice Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Emily Danielle Wilson Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524

Office Location

Street Address 2900 SABRE ST
SUITE 300
City VIRGINIA BEACH
State VA
Zip 23452-7380

Physicians in the same location

Name Specialty Organization Address
Sam K Hong Internal Medicine Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Lindsey Rose Neal Family Practice Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Katie J Gerarge Physician Assistant Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
George A Teekah Pulmonary Disease Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Sabrina Shanay Hughes Nurse Practitioner Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Bonnie Lee Shelton General Practice Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380

Physicians in the same zip code

Name Specialty Organization Address
David E Ranzette Chiropractic 4664 S Blvd, Suite 101, Virginia Beach, VA 23452-1058
Aaron Mangino Chiropractic Health With Hands LLC 441 S Independence Blvd, Suite 4, Virginia Beach, VA 23452-1105
Scott J Birckbichler Chiropractic 485 S Independence Blvd, Suite 111, Virginia Beach, VA 23452-1129
Andra S Foster Chiropractic 505 S Independence Blvd, Suite 105, Virginia Beach, VA 23452-1150
James F Lassiter Psychologist, Clinical 4560 S Blvd, Suite 300, Virginia Beach, VA 23452-1160
James Maggio Jr. Chiropractic 525 S Independence Blvd, Suite 190, Virginia Beach, VA 23452-1189
Michael Amare Chiropractic 525 S Independence Blvd, Suite 190, Va Beach, VA 23452-1189
Molly Jordan Howlett Qualified Audiologist 4356 Bonney Rd, Bldg 1 Suite 102, Virginia Beach, VA 23452-1200
Robert Paul Seim Optometry 4217 Virginia Beach Blvd, Virginia Beach, VA 23452-1232
Brian Dolmat Chiropractic 4301 Virginia Beach Blvd, Virginia Beach, VA 23452-1250
Find all physicians in zip 23452

Competitor

Search similar physicians

City VIRGINIA BEACH
Zip Code 23452
Specialty ENDOCRINOLOGY
City + Specialty VIRGINIA BEACH + ENDOCRINOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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