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DR. FIDIAS EDUARDO DE LEON M.D.
NPI 1871756155
General Practice in Decatur, GA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
1670 CLAIRMONT RD, DECATUR, GA 30033(044) 321-6111 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. Fidias Eduardo De Leon M.d. NPPES

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

DR. FIDIAS EDUARDO DE LEON M.D. (NPI 1871756155) is an individual general practice provider in Decatur, Georgia, licensed in Georgia (63891) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1871756155
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. FIDIAS EDUARDO DE LEONCredential: M.D.
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address1670 Clairmont RdDecatur, GA 30033-4004 · (044) 321-6111
Phone(044) 321-6111
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 7, 2008
Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration
NPPES CertifiedNovember 9, 2022
✔ NPI 1871756155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in GA · 63891✔ Licensed in FL · ME104760
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 63891 (GA)
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 63891 (GA)
1670 CLAIRMONT RD, Decatur, GA 30033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fidias Eduardo De Leon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507909835
PECOS Enrollment IDI20121024000231
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.

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.

MRS. LAPARISIENNE MOORE-BROWN LMSW
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
BRANDON HAYGOOD
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ARIANNE JAMES
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
KARLA MARIE GARCIA ORTIZ MD
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (044) 680-7354
MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Dekalb County (404) 417-2953
DR. NED WILSON HOLLAND MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Dekalb County (404) 321-6111
MR. ROOSEVELT N/A DAVIS RPH
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CEDRELLA CAROL JONES-TAYLOR M.D.
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033
Dekalb County (404) 321-6111

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 Fidias De Leon's NPI number?

The NPI number for Fidias De Leon is 1871756155. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Fidias De Leon located?

Fidias De Leon practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (044) 321-6111.

What is Fidias De Leon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Fidias De Leon enrolled in Medicare?

Yes. Fidias De Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fidias De Leon was last updated on November 9, 2022. 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.