Leanne Harris Martinelli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004312 Issued in GA

Practice address

2745 Dekalb Medical Pkwy
Suite 110
Lithonia, GA 30058-4932

Phone

(770) 981-5431

Fax

(770) 981-5515

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Care of Atlanta Inc

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1093770091
  Medicare reassignment
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lithonia, GA
  • NPI 1609374842
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1225573025
  NPD (past)
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1255779468
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1427129014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "770-495-3396",
            "fax_number": "770-495-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 DEKALB MEDICAL PKWY",
            "address_2": "SUITE 110",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584932",
            "telephone_number": "770-981-5431",
            "fax_number": "770-981-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "LEANNE",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004312",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP-DMERC",
            "identifier": "CA9328",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108178463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Lynn OD & Associates PC
• Mark Lynn OD & Associates, PC
• Mikeyera Marshall
• Latoria Martin, LNHA, BSN
• Quinita Shantell Martin, NP
• Sandra Diane Maryman, MD
• Marys Safe Haven LLC
• Camonie Mason
• Sheila Vernice Mason, OTRL
• Mastermind Counseling Services

• Medical Physician Assistant in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.