Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanisha Leonard, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1003372293

Tanisha Leonard, AGACNP-BC is a Nurse Practitioner in Marietta, Georgia. Qualified in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

55 Whitcher St NE Ste 350
Marietta, GA 30060-1129
Phone: (770) 424-6893
Fax: (770) 528-9938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2371 Wilderness Way, Marietta, GA 30066-5753 — (229) 740-9647

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN204055 (GA)

Record details

NPI number1003372293
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedFebruary 13, 2019
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Marietta