Individual provider Active NPI

Leanna Meade Hollander, DO

  • Pediatrics Physician
  • St Simons Island, GA
National Provider Identifier
1831652023
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102209219 Issued in VA
Practice address
7000 Wellness Way Ste 7230
St Simons Island, GA 31522-2286
Phone
(912) 466-5840
NPI assigned
Apr 13, 2019
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 91305 GA
Pediatrics Physician 208000000X 0102209219 VA Primary

Addresses

Primary practice location

7000 Wellness Way Ste 7230
St Simons Island, GA 31522-2286

Mailing address

200 8TH St
Radford, VA 24141-2446
Phone (540) 639-5188

Other practice location 1

200 8th St
Radford, VA 24141-2446
Phone (540) 639-5188

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014000029 GA Practitioner - Pediatric Medicine 5890227094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102209219VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Jul 28, 2024 Accepting new patients
Coastal Community Health Services Inc CurrentSince Jul 28, 2024 Accepting new patients
Southeast Georgia Health System, Inc. Past Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

3300 4th St
Brunswick, GA 31520
Phone (912) 267-0884

7000 Wellness Way
Ste 7230
St Simons Island, GA 31522
Phone (912) 466-5840

Organizations & group practices 3

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1831652023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 8TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412446",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WELLNESS WAY STE 7230",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222286",
            "telephone_number": "912-466-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 8th St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241412446",
            "country_code": "US",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "LEANNA",
        "middle_name": "MEADE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "91305",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102209219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

Verify at the official NPI Registry.