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Deactivated NPI 1235248402 Deactivated / Inactive NPI Male Practitioner

Dr. Jack L. Lesher , MD

Dermatology • Augusta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Lesher has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date June 28, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Lesher, MD was a registered Dermatology practicing in Augusta, GA. Throughout an active medical career spanning 13 years, Dr. Lesher provided care at the practice location at 1120 15TH ST until profile deactivation on 2019-06-28.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 7067213291
Fax 7067211459
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Augusta, GA (364 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License GA 024016

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Robert Stowers , PA

Physician Assistant

NPI 1003927401

Physician Assistant

Kristen Bradley , FNP-BC

Nurse Practitioner

NPI 1013539907

Family Nurse Practitioner (Board Certified)

Dr. Wael Aljaroudi , MD

Internal Medicine - Cardiovascular Disease

NPI 1033312129

Doctor of Medicine (M.D.)

Dr. Elizabeth Fox , MD

Surgery - Trauma Surgery

NPI 1033347232

Doctor of Medicine (M.D.)

Dr. Amanda Barrett , MD

Pathology - Anatomic Pathology

NPI 1033555834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2019

Record deactivated on June 28, 2019

NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2014

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067213291)

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Updated Business Mailing Address August 14, 2014

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7068288402)

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Provider Name / Credentials Updated August 14, 2014

Recorded as JACK LESHER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Dermatology (License #024016 in GA)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235248402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: August 14, 2014
Deactivation Date: June 28, 2019

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7068288402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.