Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leah Marie Gumucio, PA-C

Individual provider Medical Physician Assistant · NPI 1992074496

Leah Marie Gumucio, PA-C is a Physician Assistant in Watkinsville, Georgia. Qualified in 2009, 17 years ago. Practices with Piedmont Athens Specialty Care LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1305 Jennings Mill Rd Ste 290A
Watkinsville, GA 30677-7238
Phone: (706) 552-1840
Fax: (706) 552-1849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007513 (GA)

Record details

NPI number1992074496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2011
Last updated in NPPESFebruary 14, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Piedmont Athens Specialty Care Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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