LEAH EVE MICKELSON MACKLIN (DO) – Family Medicine Physician, NPI 1184004103

LEAH EVE MICKELSON MACKLIN (DO) is a healthcare provider. based in Sugar hill, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 209826 (NC). The NPI Number for LEAH EVE MICKELSON MACKLIN (DO) is 1184004103

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LEAH EVE MICKELSON MACKLIN (DO)
NPI
1184004103
Phone
(770) 945-1990
Address
4720 NELSON BROGDON BLVD
Enumeration Date
4 June 2015
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4042561727
Graduation Year
2015 (11 years ago)
PAC ID
9638469208
Group Practice PAC ID
0840271268
Professional Enrollment ID
I20181008000839
Address ID
GA300416092CU2860XBLVD402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for LEAH EVE MICKELSON MACKLIN (DO)

  • 4720 NELSON BROGDON BLVD

    SUGAR HILL, GA 30518

    Phone: (770) 945-1990

    Fax: (910) 678-0115

    Type: Mailing

  • 2860 RONALD REAGAN BLVD STE 200

    CUMMING, GA 300416092

    Phone: (470) 215-1920

    Fax: (470) 253-7923

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,011.

Total Amount is formed as General ($1,011) + Research ($0) + Ownership ($0) = $1,011.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($213).

Total Amount

$1,011

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181008000839IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13366$0
99215Established patient office or other outpatient visit, 40-54 minutes9546$0
G0442Annual alcohol misuse screening, 5 to 15 minutes6767$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes6767$0
G0444Annual depression screening, 5 to 15 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 30518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840271268View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeNC
Family PracticeSC
Family PracticeGA
Family PracticeAR
Family PracticeGA
-GA
Internal MedicineAZ
Family PracticeGA
Family PracticeAL

Reviews

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Frequently asked questions

Where can patients find LEAH EVE MICKELSON MACKLIN (DO)'s NPI?
You can confirm LEAH EVE MICKELSON MACKLIN (DO) with NPI 1184004103; it appears in the national provider directory.
Is LEAH EVE MICKELSON MACKLIN (DO)'s NPI currently valid?
The extract we use shows LEAH EVE MICKELSON MACKLIN (DO) as active.
Can you summarize LEAH EVE MICKELSON MACKLIN (DO)'s specialty in plain language?
Clinically, the directory lists LEAH EVE MICKELSON MACKLIN (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for LEAH EVE MICKELSON MACKLIN (DO)?
We surface Sugar Hill, Georgia for LEAH EVE MICKELSON MACKLIN (DO) based on available NPPES addresses.
What if Sugar Hill, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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