Mary D Leatherland, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900252 Issued in NC

Practice address

6920 Roanoke Rd
Shawsville, VA 24162-0467

Phone

(540) 268-1400

Fax

(540) 268-1300

NPI assigned

Oct 6, 2005

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary D. Hornbeck Former name

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Family Practice

Education

University of Maryland School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Express Family Care LLCGroup PAC ID 2668600909, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/

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.

• Express Family Care, LLC

  dba Express Family Care

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1710315825
  Medicare reassignment Care Compare group NPD
• Carilion Emergency Services, Inc.

  dba VelocityCare

  • Urgent Care Clinic/Center
  • Roanoke, VA
  • NPI 1255602694

  Family Medicine

  NPD (past)
• Carilion Emergency Services, Inc.

  dba VelocityCare

  • Urgent Care Clinic/Center
  • Christiansburg, VA
  • NPI 1598533879
  NPD (past)
• Cabarrus Family Medicine

  • Primary Care Clinic/Center
  • Concord, NC
  • NPI 1679758759
  NPD (past)
• Cabarrus Family Medicine

  dba Psychologival and Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, NC
  • NPI 1750566832
  NPD (past)
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1528056355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "241620467",
            "telephone_number": "540-268-1400",
            "fax_number": "540-268-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 ROANOKE RD",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "241620467",
            "telephone_number": "540-268-1400",
            "fax_number": "540-268-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERLAND",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HORNBECK",
            "middle_name": "D.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert M Dums, MD
• Julia T Hemphill, MD
• Janice S Hixon, NURSE PRACTITIONER
• It Is Well Psychiatry
• Andre Jenkins, NP-C
• Deasha Manns
• Julia Price Moore, PMHNP
• Hannah Hughes Pratt, LPTA
• Jonathan Dwyte Robinson, DMD
• Shawsville Pharmacy Inc

• Family Medicine Physician in Shawsville, VA
• Providers in Shawsville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.
• 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.

Verify at the official NPI Registry.