Dr. James Edgar Leake , MD
Surgery - Plastic and Reconstructive Surgery • Marietta, GA
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. James Leake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. James Leake, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Marietta, GA. Throughout an active medical career spanning 13 years, Dr. Leake provided care at the practice location at 672 BEAUREGARD DR SW until profile deactivation on 2018-11-16.
Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
672 Beauregard Dr Sw
Marietta, GA 300645509
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Marietta, GA
Practicing in Marietta, GA (87 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
12 | 12 | $175.00 | $156.38 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 672 BEAUREGARD DR SW, MARIETTA, GA 300645509 (Tel: 7704223386)
Registered at 672 BEAUREGARD DR SW, MARIETTA, GA 300645509 (Tel: 7704223386)
Record officially reactivated for active practice on December 10, 2018
Record deactivated on November 16, 2018
NPI status registered as active in NPPES database
Registered at 120 VANN ST NE, STE 150, MARIETTA, GA 300607250 (Tel: 7704211242)
Registered at 120 VANN ST NE, STE 150, MARIETTA, GA 300607250 (Tel: 7704211242)
Recorded as JAMES LEAKE, MD
Surgery (License #026144 in GA)
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
Mailing Address
672 Beauregard Dr Sw
Marietta, GA 300645509
Phone: 7704223386
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