Active NPI
Jessica Leonard, DMD
- Dentist
- Duluth, GA
National Provider Identifier
1376292995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123154
- Practice address
- 3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959 - Phone
- (770) 962-8396
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN123154 | GA | Primary |
Addresses
Primary practice location
3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959
Mailing address
3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251017004320 | GA | Practitioner - Dentist | 5193213510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Western University of Health Sciences College of Dental Med, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3350 Breckinridge Blvd
Suite 200
Duluth, GA 30096-4959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Impact Health Centers Inc | Current | Accepting new patients | |
| Positive Impact Health Centers, Inc. | Current | Accepting new patients | |
| Your Joyful Smile Dental-Tucker, LLC | Past | Accepting new patients | |
| Terrance L. Jeter, DMD, PC | Dentist | Past | Accepting new patients |
| Mouthpeace Dental 4, LLC | Past | Accepting new patients |
Locations
3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396
3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
-
- Dental Clinic/Center
- Forest Park, GA
- NPI 1811516479
-
- Dentist
- Decatur, GA
- NPI 1215567201
-
- General Practice Dentistry
- Tucker, GA
- NPI 1700467602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1376292995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 BRECKINRIDGE BLVD STE 200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 BRECKINRIDGE BLVD STE 200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964959",
"telephone_number": "770-962-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JESSICA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.