Individual provider Active NPI

Megan Alyse Leblanc, PA-C

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1104545169
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA18848 Issued in TX
Practice address
10455 N Central Expy Ste 110
Dallas, TX 75231-2211
Phone
(214) 206-4706
Fax
(888) 636-2602
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA18848 TX Primary
Physician Assistant 363A00000X 333126 LA

Addresses

Primary practice location

10455 N Central Expy Ste 110
Dallas, TX 75231-2211

Mailing address

10455 N Central Expy Ste 110
Dallas, TX 75231-2211
Phone (214) 206-4706

Other practice location 1

5646 Read Blvd Ste 380
New Orleans, LA 70127-3148
Phone (504) 518-5822

Other practice location 2

2076 Nc Highway 42 W Ste 230
Clayton, NC 27520-5303
Phone (919) 553-5711

Other practice location 3

4700 Little Rd
Arlington, TX 76017-1058
Phone (214) 206-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223002747 TX Practitioner - Physician Assistant 8022455914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Congress Ave
Suite 1400
Austin, TX 78701-4209

630 Bolivar St
Suite 300
Jefferson City, MO 65101-1596

8000 Norman Ctr Dr
Suite 1200
Minneapolis, MN 55437-1467

9250 NW 36 St
Suite 420
Doral, FL 33178-2775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18848TXMDFamily Medicine Physician
333126LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Centrum Medical Group PLLC CurrentSince Nov 1, 2025 Accepting new patients
Centrum Medical Group, PLLC Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

4700 Little Rd
Arlington, TX 76017
Phone (817) 496-0766

128 W Belt Line Rd
Ste 1
Cedar Hill, TX 75104
Phone (469) 482-9646

2223 S Buckner Blvd
Dallas, TX 75227
Phone (972) 708-4000

2223 S Buckner Blvd
Ste 229
Dallas, TX 75227

3410 President George Bush Tpke
Dallas, TX 75287
Phone (972) 619-6066

10455 N Central Expy
Ste 110
Dallas, TX 75231
Phone (214) 540-0245

5801 Golden Triangle Blvd
Ste 101
Fort Worth, TX 76244
Phone (214) 206-4706

7664 McCart Ave
Fort Worth, TX 76133
Phone (817) 346-9700

2380 Firewheel Pkwy
Ste 100
Garland, TX 75040
Phone (972) 864-0252

2355 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (972) 539-6330

2355 E Grapevine Mills Cir
Ste 100
Grapevine, TX 76051

2450 N Belt Line Rd
Irving, TX 75062
Phone (336) 707-7843

2450 N Belt Line Rd
Ste 110
Irving, TX 75062
Phone (469) 550-5550

1718 Highway 287 N
Ste 100
Mansfield, TX 76063
Phone (469) 684-7830

2698 N Galloway Ave
Ste 105
Mesquite, TX 75150
Phone (239) 465-2365

1029 N Saginaw Blvd
Ste E3
Saginaw, TX 76179
Phone (469) 343-1399

Interoperability endpoints

  • Direct secure messaging: megan.leblanc.1@10617.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1104545169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312211",
            "telephone_number": "214-206-4706",
            "fax_number": "888-636-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312211",
            "telephone_number": "214-206-4706",
            "fax_number": "888-636-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5646 Read Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701273148",
            "country_code": "US",
            "telephone_number": "504-518-5822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2076 Nc Highway 42 W Ste 230",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275205303",
            "country_code": "US",
            "telephone_number": "919-553-5711",
            "fax_number": "919-553-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171058",
            "country_code": "US",
            "telephone_number": "214-206-4706",
            "fax_number": "888-635-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "MEGAN",
        "middle_name": "ALYSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA18848",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "333126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.