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Deactivated NPI 1093977381 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph S Leyva , MD

General Practice • Forest Park, 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. Joseph Leyva has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2008
NPI Deactivation Date September 08, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Leyva, MD was a registered General Practice practicing in Forest Park, GA. Throughout an active medical career spanning 12 years, Dr. Leyva provided care at the practice location at 4146 JONESBORO RD until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

4146 Jonesboro Rd

Forest Park, GA 302971038

Telephone 4043612469
Fax 4043612427
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Forest Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Forest Park, GA (369 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 014067

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Guillermo Gomez , NP

Nurse Practitioner - Family

NPI 1972508752

Nurse Practitioner

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 September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active June 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2008

Registered at 4146 JONESBORO RD, FOREST PARK, GA 302971038 (Tel: 4043612469)

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Updated Business Mailing Address June 27, 2008

Registered at PO BOX 741355, RIVERDALE, GA 302741325 (Tel: 7704038980)

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Provider Name / Credentials Updated June 27, 2008

Recorded as JOSEPH LEYVA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2008

General Practice (License #014067 in GA)

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Initial NPI Registration & Enumeration June 27, 2008

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: 1093977381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2008
Last Update: June 27, 2008
Deactivation Date: September 08, 2020

Mailing Address

Po Box 741355

Riverdale, GA 302741325

Phone: 7704038980

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.