Individual provider Active NPI

Michael F Leonard, FNP

  • Family Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1649823865
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN285494 Issued in GA
Practice address
505 Dacula Rd
Dacula, GA 30019-2125
Phone
(678) 407-8750
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN285494 GA Primary

Addresses

Primary practice location

505 Dacula Rd
Dacula, GA 30019-2125

Mailing address

2413 Pond Rd
Duluth, GA 30096-6002
Phone (513) 828-7201

Other practice location 1

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211215001734 TX Practitioner - Nurse Practitioner 2567790447 Reassigns benefits to 2 organizations
I20240325002347 TN Practitioner - Nurse Practitioner 2567790447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN285494GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 26, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 22, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 22, 2024 Accepting new patients
Primamed Physicians PLLC CurrentSince Jul 18, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Oct 26, 2021 Accepting new patients
Citimed, P.a. Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients

Locations

509 Hillsboro Rd
Franklin, TN 37064
Phone (615) 472-2139

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

540 Surf St
Lewisville, TX 75067
Phone (513) 828-7201

2013 Kelly Ln
Pflugerville, TX 78660
Phone (512) 990-0814

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1649823865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 POND RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966002",
            "telephone_number": "513-828-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DACULA RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192125",
            "telephone_number": "678-407-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Elm Hill Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143108",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN285494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.