Active NPI
Leona Beth Arnold, PA-C
- Physician Assistant
- Dacula, GA
National Provider Identifier
1003501057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11077
- Practice address
- 3625 Braselton Hwy Ste 204
Dacula, GA 30019-4695 - Phone
- (770) 615-6100
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11077 | GA | Primary |
Addresses
Primary practice location
3625 Braselton Hwy Ste 204
Dacula, GA 30019-4695
Mailing address
3625 Braselton Hwy Ste 204
Dacula, GA 30019-4695
Phone (770) 615-6100
Other practice location 1
5270 Peachtree Pkwy Ste 107
Peachtree Corners, GA 30092-2558
Phone (770) 416-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11077 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1003501057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 BRASELTON HWY STE 204",
"city": "DACULA",
"state": "GA",
"postal_code": "300194695",
"telephone_number": "770-615-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 BRASELTON HWY STE 204",
"city": "DACULA",
"state": "GA",
"postal_code": "300194695",
"telephone_number": "770-615-6100"
}
],
"practiceLocations": [
{
"address_1": "5270 Peachtree Pkwy Ste 107",
"address_purpose": "LOCATION",
"city": "Peachtree Corners",
"state": "GA",
"postal_code": "300922558",
"country_code": "US",
"telephone_number": "770-416-1070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOLD",
"first_name": "LEONA",
"middle_name": "BETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.