DR. LEANDRE DANIEL GERVAIS DDS
NPI 1184315152
Dentist in College Park, GA

Q: What is Leandre Gervais's NPI number?

The NPI number for Leandre Gervais is 1184315152. It was assigned to this individual provider in the NPPES registry on May 18, 2023. The provider is also known as Dr. Leandre D Gervais Dds.

Q: What is Leandre Gervais's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Leandre Gervais was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2023PECOS Enrolled

1901 PHOENIX BLVD STE 100, COLLEGE PARK, GA 30349(770) 991-0913 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Jul 2, 2025, May 23, 2025 and 4 more (7 updates tracked since 2023).

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About Dr. Leandre Daniel Gervais Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEANDRE DANIEL GERVAIS DDS (NPI 1184315152) is an individual dentist in College Park, Georgia, licensed in Georgia (DN123399) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184315152

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LEANDRE DANIEL GERVAISCredential: DDS

Location Address1901 PHOENIX BLVD STE 100College Park, GA 30349-5062

Mailing Address1000 Blythe Blvd, CharlotteAtlanta, NC 28203-5812 · (704) 355-2165 · Fax (704) 355-8856

Phone(770) 991-0913

Sole ProprietorNo

Enumeration DateMay 18, 2023

Last NPPES UpdateJune 3, 20267 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1184315152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN123399

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 151483 (NC)

1901 PHOENIX BLVD STE 100, College Park, GA 30349

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Other Names 1

Other Name (5)Dr. Leandre D Gervais Dds

Secondary Practice Locations 2

Location 1341 Ponce De Leon Ave NEAtlanta, GA 30308-2012 · Phone (404) 616-2440

Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2165 · Fax (704) 355-8856

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leandre Daniel Gervais Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON ANDRE SADBERRY II

Dentist

1901 PHOENIX BLVD STE 100
COLLEGE PARK, GA 30349

Fulton County (678) 619-5697

JASMINE HUYNH

Dentist

1901 PHOENIX BLVD STE 100
COLLEGE PARK, GA 30349

Fulton County (770) 609-3242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leandre Gervais's NPI number?

The NPI number for Leandre Gervais is 1184315152. It was assigned to this individual provider in the NPPES registry on May 18, 2023. The provider is also known as Dr. Leandre D Gervais Dds.

Where is Leandre Gervais located?

Leandre Gervais practices at 1901 Phoenix Blvd Ste 100, College Park, GA 30349. The listed phone number is (770) 991-0913.

What is Leandre Gervais's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Leandre Gervais enrolled in Medicare?

Yes. Leandre Gervais is registered in the Medicare PECOS enrollment system.

What insurance does Leandre Gervais accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Leandre Gervais as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leandre Gervais was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.