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RYAN LEESON MD
NPI 1013611763
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 28, 2023PECOS Enrolled
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-1200 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ryan Leeson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN LEESON MD (NPI 1013611763) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013611763
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN LEESONCredential: MD
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 219-1200
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1013611763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
743 SPRING ST NE, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Leeson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Leeson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Emergency Department Services, P.C.
Same address
Emergency Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
NPI 1508886912 (770) 536-2146

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRYL E BLALOCK CRNA
Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
JACOB LEEDEKERKEN
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ANELA D PEARSON AGACNP-BC
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. SHARANI UMAYANGANI JAYARATNE MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
JUSTINA LI VEGA PA-C
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
LAUREN CALLAWAY PHARMD
Pharmacist
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-9000
RACHAEL PHLIPOT CAA
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
DR. KEITH EDWIN LEAP II MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (786) 357-9327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Leeson's NPI number?

The NPI number for Ryan Leeson is 1013611763. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Ryan Leeson located?

Ryan Leeson practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-1200.

What is Ryan Leeson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Leeson enrolled in Medicare?

Yes. Ryan Leeson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Leeson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Leeson reassigns Medicare benefits to Georgia Emergency Department Services, P.C. (Gainesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Leeson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Leeson accept?

Health plans from Alliant Health Plans, Inc. list Ryan Leeson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Leeson was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.