Individual provider Active NPI

Jessica Leonard, DMD

  • Dentist
  • Duluth, GA
National Provider Identifier
1376292995
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123154 Issued in GA
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

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Positive Impact Health Centers Inc CurrentSince Aug 7, 2025 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Your Joyful Smile Dental-Tucker, LLC PastSince Aug 1, 2023 Accepting new patients
Terrance L. Jeter, DMD, PC Dentist PastSince Aug 1, 2023 Accepting new patients
Mouthpeace Dental 4, LLC PastSince Nov 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.