Active NPI
Ethan Leabhart, DO
- Psychiatry Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2025-00920
- Practice address
- 1120 Fairgrove Church Rd Ste 12
Hickory, NC 28602-9630 - Phone
- (828) 326-2828
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2025-00920 | NC | Primary |
Addresses
Primary practice location
1120 Fairgrove Church Rd Ste 12
Hickory, NC 28602-9630
Mailing address
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730002650 | NC | Practitioner - Psychiatry | 1052828324 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- West Virginia School of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catawba Valley Medical Center
Practice addresses (Care Compare)
1120 Fairgrove Church Rd
Suite 12
Hickory, NC 28602-9630
Phone (828) 326-2828
Hospital & facility affiliations
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Psychiatry | Current | Accepting new patients |
Locations
1120 Fairgrove Church Rd
Ste 12
Hickory, NC 28602
Phone (828) 326-2828
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDFAA/Endpoint/EJDFAA
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.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1275585150
-
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Diagnostic Radiology Physician
- Hickory, NC
- NPI 1689611220
-
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1689628794
-
- Health Educator
- Hickory, NC
- NPI 1518524818
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1124607577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 FAIRGROVE CHURCH RD STE 12",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029630",
"telephone_number": "828-326-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEABHART",
"first_name": "ETHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2025-00920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.