Active NPI
Hannah Leonard, PA-C
- Physician Assistant
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109929
- Practice address
- 725 W Granada Blvd Ste 44
Ormond Beach, FL 32174-9406 - Phone
- (866) 400-3376
- Fax
- (386) 898-0551
- NPI assigned
- Oct 5, 2016
- 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 | PA9109929 | FL | Primary |
Addresses
Primary practice location
725 W Granada Blvd Ste 44
Ormond Beach, FL 32174-9406
Mailing address
151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170417000475 | FL | Practitioner - Physician Assistant | 9133405764 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leavitt Medical Associates of Florida Inc
Practice addresses (Care Compare)
1410 W Broadway St
Suite 205
Oviedo, FL 32765-6472
Phone (407) 359-2100
1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812
725 W Granada Blvd
Suite 44
Ormond Beach, FL 32174-9406
Phone (386) 898-0547
818 N Woodland Blvd
Deland, FL 32720-2709
Phone (386) 738-8000
Hospital & facility affiliations
- Adventhealth Daytona Beach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Locations
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
725 W Granada Blvd
Ste 44
Ormond Beach, FL 32174
Phone (386) 898-0547
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Dermatology Physician
- Orlando, FL
- NPI 1104084672
-
- Dermatology Physician
- Orlando, FL
- NPI 1316105885
-
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
Hospital & facility affiliations 2
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": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1154871887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517172",
"telephone_number": "866-400-3376",
"fax_number": "407-650-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W GRANADA BLVD STE 44",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749406",
"telephone_number": "866-400-3376",
"fax_number": "386-898-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "HANNAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.