DR. LELAND SAGE DUDDLESTON III M.D.
NPI 1912059833
Specialist in Dalton, GA

Active since January 18, 2007PECOS Enrolled
1000 RIVERBURCH PKWY, DALTON, GA 30721(706) 226-2273(706) 217-6543 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leland Sage Duddleston Iii M.d. NPPES

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

DR. LELAND SAGE DUDDLESTON III M.D. (NPI 1912059833) is an individual specialist in Dalton, Georgia, licensed in Georgia (033073) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912059833
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. LELAND SAGE DUDDLESTON IIICredential: M.D.
Location Address1000 RIVERBURCH PKWYDalton, GA 30721-8630
Mailing Address1000 Riverburch PkwyDalton, GA 30721-8630 · (706) 226-2273 · Fax (706) 217-6543
Fax(706) 217-6543
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 9, 2010
NPI 1912059833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 033073
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1000 RIVERBURCH PKWY, Dalton, GA 30721

Other Identifiers 2

Medicare UPINF08592GA
Medicare ID-Type Unspecified01BDGBNGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Leland Sage Duddleston Iii M.d. 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.

Other Providers at the Same Location NPPES 2

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

Specialist
1000 RIVERBURCH PKWY
DALTON, GA 30721
Family Medicine
1000 RIVERBURCH PKWY
DALTON, GA 30721

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 Leland Duddleston's NPI number?

The NPI number for Leland Duddleston is 1912059833. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Leland Duddleston located?

Leland Duddleston practices at 1000 Riverburch Pkwy, Dalton, GA 30721. The listed phone number is (706) 226-2273.

What is Leland Duddleston's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Leland Duddleston enrolled in Medicare?

Yes. Leland Duddleston is registered in the Medicare PECOS enrollment system.

What insurance does Leland Duddleston accept?

Health plans from Alliant Health Plans, Inc. list Leland Duddleston 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 Leland Duddleston was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.