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MARIAN LEACH PA-C, ATC
NPI 1568945400
Physician Assistant in Buford, GA

Active since September 06, 2018PECOS Enrolled
4700 NELSON BROGDON BLVD STE 250, BUFORD, GA 30518(770) 442-1911 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marian Leach Pa-c, Atc NPPES

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

MARIAN LEACH PA-C, ATC (NPI 1568945400) is an individual physician assistant in Buford, Georgia and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1568945400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAN LEACHCredential: PA-C, ATC
Location Address4700 NELSON BROGDON BLVD STE 250Buford, GA 30518-5415
Mailing Address1090 Westcroft LnRoswell, GA 30075-6020
Phone(770) 442-1911
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1568945400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4700 NELSON BROGDON BLVD STE 250, Buford, GA 30518
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Other Names 1

Former Name (1)Marian Bornhorst

Secondary Practice Location 1

Location 11090 Westcroft LnRoswell, GA 30075-6020 · Phone (678) 956-3034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marian Leach Pa-c, Atc 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 30518 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 3

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

JOANE BUTEAU
Physician Assistant
4700 NELSON BROGDON BLVD STE 250
BUFORD, GA 30518
Gwinnett County (770) 442-1911
HIROYUKI TADA
Nurse Practitioner (Family)
4700 NELSON BROGDON BLVD STE 250
BUFORD, GA 30518
Gwinnett County (678) 341-6380
DR. KEZIA ALEX MD
Family Medicine
4700 NELSON BROGDON BLVD STE 250
BUFORD, GA 30518
Gwinnett County (770) 442-1911

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 Marian Leach's NPI number?

The NPI number for Marian Leach is 1568945400. It was assigned to this individual provider in the NPPES registry on September 6, 2018. The provider is also known as Marian Bornhorst.

Where is Marian Leach located?

Marian Leach practices at 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518. The listed phone number is (770) 442-1911.

What is Marian Leach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marian Leach enrolled in Medicare?

Yes. Marian Leach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marian Leach was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.