Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy James Leonard, PA-C

Individual provider Medical Physician Assistant · NPI 1104989128

Mr. Timothy James Leonard, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
22
In the registry since
2006
Specialties on file
2
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

325 Hawthorne Ln Ste 100
Charlotte, NC 28204-2536
Phone: (704) 316-7760
Fax: (704) 316-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Randolph Rd, Charlotte, NC 28207-1127 — (704) 316-7760

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1104989128
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESFebruary 21, 2024
Certification dateOctober 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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