Individual provider Active NPI

John Clanton Leach, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1386902856
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E9658 Issued in AR
Practice address
4301 W Markham St
Little Rock, AR 72205-7101
Phone
(501) 690-2373
NPI assigned
May 2, 2012
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E9658 AR Primary

Addresses

Primary practice location

4301 W Markham St
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 364-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161104001874 AR Practitioner - Psychiatry 2163748773 Reassigns benefits to 2 organizations
I20221027003306 GA Practitioner - Psychiatry 2163748773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Peachford, L.P.Group PAC ID 9234123894, 2 clinicians

Practice addresses (Care Compare)

2151 Peachford Rd
Atlanta, GA 30338-6534
Phone (770) 455-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9658ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Peachford LP Psychiatry CurrentSince Aug 15, 2022 Accepting new patients
Reding & Leach MD PLLC Psychiatry CurrentSince Dec 6, 2018 Accepting new patients
John C. Leach, MD PLLC Current Accepting new patients
Uhs of Peachford LP CurrentSince Aug 15, 2022 Accepting new patients
The Bridgeway, LLC CurrentSince Dec 19, 2016 Accepting new patients
Uhs of Peachford, L.P. Past Accepting new patients

Locations

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1386902856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-364-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-690-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "JOHN",
        "middle_name": "CLANTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E9658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.