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MARY KATHERINE LEOS
NPI 1821609447
Physician Assistant in Atlanta, GA

Active since August 17, 2020
780 JOHNSON FERRY RD STE 100, ATLANTA, GA 30342(404) 661-6865(404) 829-1312 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, Aug 17, 2020 (2 updates tracked since 2020).

About Mary Katherine Leos NPPES

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

MARY KATHERINE LEOS (NPI 1821609447) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10697) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1821609447
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATHERINE LEOS
Location Address780 JOHNSON FERRY RD STE 100Atlanta, GA 30342-1434
Mailing Address2359 Lime Rock RdVestavia Hills, AL 35216-3006 · (205) 533-3386
Phone(404) 661-6865
Fax(404) 829-1312
Sole ProprietorYes
Enumeration DateAugust 17, 2020
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1821609447 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
License✔ Licensed in GA · 10697
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
780 JOHNSON FERRY RD STE 100, Atlanta, GA 30342
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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 Mary Leos's NPI number?

The NPI number for Mary Leos is 1821609447. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Mary Leos located?

Mary Leos practices at 780 Johnson Ferry Rd Ste 100, Atlanta, GA 30342. The listed phone number is (404) 661-6865.

What is Mary Leos's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Leos was last updated on April 4, 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.