Active NPI
Mary Jeannette Leonardi, PA
- Physician Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05053
- Practice address
- 3443 Pelham Rd
Suite 200
Greenville, SC 29615-4178 - Phone
- (864) 254-9330
- NPI assigned
- Jun 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2125 | SC | |
| Physician Assistant | 363A00000X | 0010-05053 | NC | Primary |
Addresses
Primary practice location
3443 Pelham Rd
Suite 200
Greenville, SC 29615-4178
Mailing address
114 Edinburgh PL
Moore, SC 29369-9667
Phone (864) 431-5775
Other practice location 1
101 E Wood St Ste 401
Spartanburg, SC 29303-3040
Phone (864) 560-6654
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mleonardi179027@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000
Hospital & facility affiliations
- St Francis-Downtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2125 | SC | MD | Physical Therapy Assistant |
| 0010-05053 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Vitalen Inpatient Care, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
75 Remittance Dr
Dept 6764
Chicago, IL 60675
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Greenville, SC
- NPI 1699514620
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Hospitalist Physician
- Greenville, SC
- NPI 1083217616
-
- Surgery Physician
- Greenwood, SC
- NPI 1457685570
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Hospitalist Physician
- Greenville, SC
- NPI 1619558327
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1013321876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 EDINBURGH PL",
"city": "MOORE",
"state": "SC",
"postal_code": "293699667",
"telephone_number": "864-431-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 PELHAM RD",
"address_2": "SUITE 200",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154178",
"telephone_number": "864-254-9330"
}
],
"practiceLocations": [
{
"address_1": "101 E Wood St Ste 401",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033040",
"country_code": "US",
"telephone_number": "864-560-6654",
"fax_number": "864-560-7353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARDI",
"first_name": "MARY",
"middle_name": "JEANNETTE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2125",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05053",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mleonardi179027@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mleonardi179027@direct-srhs.et0939.epichosted.com",
"address_1": "101 E Wood St Ste 401",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293033040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.