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

Individual provider Dermatology Physician · NPI 1013902907

Stuart S Leicht, MD is a Dermatology in Johnson City, Tennessee. Graduated from Emory University School of Medicine in 1978, 48 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
48
Trained at
Emory University School of Medicine
Licensed in
TN
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2898 Boones Creek Rd Ste 105
Johnson City, TN 37615-4976
Phone: (423) 262-0112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD17098 (TN)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence MD17098 (TN)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD17098 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD17098 (TN)

Record details

NPI number1013902907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address2898 Boones Creek Rd Ste 105, Johnson City, TN 37615-4976

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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