Active NPI
Elizabeth May Leonard, M.D.
- Psychiatry Physician
- N Charleston, SC
National Provider Identifier
1508906256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13658
- Practice address
- 3841 Leeds Ave
N Charleston, SC 29405-7469 - Phone
- (843) 529-2698
- NPI assigned
- Feb 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G084479 | CA | |
| Psychiatry Physician | 2084P0800X | 13658 | SC | Primary |
Addresses
Primary practice location
3841 Leeds Ave
N Charleston, SC 29405-7469
Mailing address
3841 Leeds Ave
N Charleston, SC 29405-7469
Phone (843) 529-2698
Other practice location 1
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (888) 849-7379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13658 | Other | SC | STATE LICENSE |
| 327877 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G084479 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1508906256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 LEEDS AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294057469",
"telephone_number": "843-529-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 LEEDS AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294057469",
"telephone_number": "843-529-2698"
}
],
"practiceLocations": [
{
"address_1": "101 Cabarrus Ave E Ste 200",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280253781",
"country_code": "US",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "ELIZABETH",
"middle_name": "MAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G084479",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "13658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13658",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327877",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.