Physician Compare National (NPI:1023518446)

HEALTHCARE PROVIDER: LESLIE ROSE LEE PA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1023518446
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072863125
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180911001622
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROMEYN
	Individual professional last name
Provider First Name	LESLIE
	Individual professional first name
Provider Middle Name	ROSE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VASCULAR SURGICAL ASSOCIATES, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6709862212
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	19
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	120 STONEBRIDGE PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 320
	Group Practice or individual's line 2 address
City	WOODSTOCK
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301893769
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7708747631
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110143
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WELLSTAR COBB HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110035
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSTAR KENNESTONE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y