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MICHELLE MARIE LEIVA PA-C
NPI 1245001791
Physician Assistant - Medical in Lawrenceville, GA

Active since January 12, 2024PECOS Enrolled
601 OLD NORCROSS RD STE A, LAWRENCEVILLE, GA 30046(770) 284-3150 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Marie Leiva Pa-c NPPES

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

MICHELLE MARIE LEIVA PA-C (NPI 1245001791) is an individual medical provider in Lawrenceville, Georgia and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245001791
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE MARIE LEIVACredential: PA-C
Location Address601 OLD NORCROSS RD STE ALawrenceville, GA 30046-4311
Mailing Address601 Old Norcross Rd Ste ALawrenceville, GA 30046-4311
Phone(770) 284-3150
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
Last NPPES UpdateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1245001791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
601 OLD NORCROSS RD STE A, Lawrenceville, GA 30046
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Marie Leiva Pa-c 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.

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.

DR. SAMUEL KIM M.D.
Internal Medicine (Rheumatology)
601 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 284-3150
DR. INDRA C SHAH
Internal Medicine
601 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2474

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 Michelle Leiva's NPI number?

The NPI number for Michelle Leiva is 1245001791. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Michelle Leiva located?

Michelle Leiva practices at 601 Old Norcross Rd Ste A, Lawrenceville, GA 30046. The listed phone number is (770) 284-3150.

What is Michelle Leiva's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Leiva enrolled in Medicare?

Yes. Michelle Leiva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Leiva was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.