Individual provider Active NPI

Gerald Leonard

  • Medical Physician Assistant
  • Mesquite, TX
National Provider Identifier
1578810867
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07832 Issued in TX
Practice address
3865 Childress Ave
Suite a
Mesquite, TX 75150-2802
Phone
(972) 681-7246
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07832 TX Primary

Addresses

Primary practice location

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802

Mailing address

5534 Druid LN
Dallas, TX 75209-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130620000074 TX Practitioner - Physician Assistant 4082853205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Care GroupGroup PAC ID 8022239565, 20 clinicians

Practice addresses (Care Compare)

700 N Pearl St
Suite N208
Dallas, TX 75201-7430
Phone (214) 999-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07832TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Care Group CurrentSince Jan 7, 2024 Accepting new patients
Scott & White Clinic CurrentSince Nov 22, 2021 Accepting new patients
Metroplex Care Group CurrentSince Jan 7, 2024 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

700 N Pearl St
Ste N208
Dallas, TX 75201
Phone (214) 855-0608

1050 N Westmoreland Rd
Ste 432
Dallas, TX 75211
Phone (214) 333-3033

2701 S Hampton Rd
Ste 101
Dallas, TX 75224
Phone (214) 330-9221

700 N Pearl St
Ste N510
Dallas, TX 75201

10050 Legacy Dr
Ste 400
Frisco, TX 75033
Phone (469) 239-0205

201 Commerce St
Ft Worth, TX 76102
Phone (682) 285-1100

4709 W Parker Rd
Ste 430
Plano, TX 75093
Phone (469) 949-9931

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: geraldleonard@gfmc.allscriptsdirect.net

Organizations & group practices 4

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1578810867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 DRUID LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502802",
            "telephone_number": "972-681-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.