Active NPI 1013902907 Individual Practitioner Male Practitioner

Dr. Stuart S Leicht , MD

Dermatology • Johnson City, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Leicht, MD is a certified Dermatology practicing in Johnson City, TN. With approximately 48 years of clinical experience since graduating from Emory University School Of Medicine in 1978, Dr. Leicht delivers high-quality medical care to the local community at 2898 BOONES CREEK RD STE 105.

Dr. Leicht accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, ultrasonic guidance for placement of radiation therapy fields. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2898 Boones Creek Rd Ste 105

Johnson City, TN 376154976

Telephone 4232620112

Associated Practice Facility / Clinic

🏢 East Tennessee Medical And Surgical Dermatology Facility NPI 1356975106

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Johnson City, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +18.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Johnson City, TN (241 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leicht (48 Years) 48 Yrs

Johnson City Specialty Average (29.3 Years) 29.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,055	164	$25.00	$5.99
99213 Established patient office or other outpatient visit, typically 15 minutes	1,032	488	$182.00	$83.00
G6001 Ultrasonic guidance for placement of radiation therapy fields	992	46	$366.00	$159.99
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	960	44	$548.00	$238.89
77401 Radiation treatment delivery, superficial	924	44	$84.00	$36.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	441	54	$28.00	$0.99
17000 Destruction of skin growth	329	212	$175.00	$53.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	224	$258.00	$116.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	42	$114.00	$51.58
77336 Continuing radiation therapy consultation per week	136	41	$176.00	$77.41
11102 Tangential biopsy of single skin lesion	123	102	$200.00	$81.32
17110 Destruction of up to 14 skin growths	104	87	$240.00	$97.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$200.00	$101.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	58	$50.00	$13.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$300.00	$153.70
77300 Calculation of radiation therapy dose	56	44	$134.00	$59.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	55	34	$205.00	$106.11
77334 Design and construction of complex radiation treatment device	44	37	$254.00	$113.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	26	$325.00	$145.03
11103 Biopsy of related skin growth, each additional growth	37	26	$225.00	$45.18
77261 Simple radiation therapy planning	37	35	$144.00	$65.37
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	24	$300.00	$134.10
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	21	$370.00	$159.65
11104 Punch biopsy, first skin growth	19	17	$200.00	$112.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$655.71	$264.16
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	13	13	$290.00	$117.68
69100 Biopsy of ear	12	11	$300.00	$71.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,214	173	$25.00	$6.01
99213 Established patient office or other outpatient visit, typically 15 minutes	863	459	$150.68	$82.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	439	52	$28.00	$1.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	419	265	$216.65	$117.40
17000 Destruction of skin growth	352	219	$175.00	$53.16
96912 Application of chemical agents activated by ultraviolet light to skin	265	11	$120.00	$89.63
11102 Tangential biopsy of single skin lesion	114	95	$200.00	$74.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	55	$50.00	$13.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$300.00	$150.74
17110 Destruction of up to 14 skin growths	69	57	$240.00	$98.29
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	56	43	$205.00	$108.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$200.00	$103.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	34	$325.00	$153.44
11104 Punch biopsy, first skin growth	36	32	$200.00	$109.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	23	$660.00	$272.38
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	17	$435.00	$146.20
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	18	$300.00	$125.09
17004 Destruction of precancer skin growth, 15 or more growths	22	17	$375.00	$154.55
11103 Biopsy of related skin growth, each additional growth	21	18	$225.00	$45.85
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	14	$370.00	$165.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$412.00	$127.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$470.00	$136.07
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	12	12	$290.00	$122.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,252	184	$25.00	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	831	419	$134.92	$84.69
17000 Destruction of skin growth	355	223	$175.00	$53.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	271	36	$28.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	163	$195.00	$121.27
17110 Destruction of up to 14 skin growths	74	66	$225.20	$95.57
11102 Tangential biopsy of single skin lesion	72	63	$200.00	$74.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$200.00	$104.51
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	58	41	$325.00	$141.76
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	56	34	$205.00	$107.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	37	$50.00	$13.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$300.00	$153.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	42	36	$370.00	$155.96
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	16	$600.00	$389.84
96574 Application of light with debridement to destroy precancer skin growth	35	16	$546.00	$268.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	28	$660.00	$283.28
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	18	$300.00	$134.64
17004 Destruction of precancer skin growth, 15 or more growths	21	16	$375.00	$157.91
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	16	$435.00	$172.85
11104 Punch biopsy, first skin growth	17	14	$194.12	$103.78
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	16	16	$660.00	$316.45
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$412.00	$145.05
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$260.00	$120.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,149	176	$25.00	$6.01
99213 Established patient office or other outpatient visit, typically 15 minutes	660	379	$135.00	$85.32
17000 Destruction of skin growth	335	219	$175.00	$49.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	289	37	$28.00	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	197	$195.00	$119.71
17110 Destruction of up to 14 skin growths	91	82	$234.18	$96.06
11102 Tangential biopsy of single skin lesion	76	63	$200.00	$83.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$200.00	$105.40
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	63	42	$205.00	$110.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$300.00	$155.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	35	$50.00	$13.04
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	31	11	$575.81	$390.66
17004 Destruction of precancer skin growth, 15 or more growths	25	14	$375.00	$153.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	22	$325.00	$163.49
96574 Application of light with debridement to destroy precancer skin growth	22	11	$546.00	$267.50
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	18	$370.00	$143.06
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	20	$300.00	$144.20
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	18	$660.00	$279.22
11104 Punch biopsy, first skin growth	18	16	$200.00	$108.87
11200 Removal of skin tag, 1-15 skin tags	15	15	$185.00	$75.32
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$412.00	$148.55
11103 Biopsy of related skin growth, each additional growth	13	12	$225.00	$45.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	511	99	$25.00	$5.69
99213 Established patient office or other outpatient visit, typically 15 minutes	206	178	$135.00	$70.94
17000 Destruction of skin growth	167	133	$175.00	$52.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	21	$21.85	$1.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	96	$80.00	$42.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$200.00	$101.19
11102 Tangential biopsy of single skin lesion	44	42	$200.00	$80.22
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	19	$530.56	$392.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	21	$50.00	$13.55
17110 Destruction of up to 14 skin growths	23	21	$240.00	$98.16
96574 Application of light with debridement to destroy precancer skin growth	21	14	$546.00	$251.78
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	15	$240.00	$118.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	15	$325.00	$151.86
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	13	$370.00	$150.90
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$425.00	$193.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	802	175	$25.00	$5.02
99213 Established patient office or other outpatient visit, typically 15 minutes	794	515	$135.00	$69.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	331	193	$80.00	$41.90
17000 Destruction of skin growth	329	236	$175.00	$51.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	285	38	$5.00	$1.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$200.00	$100.15
11102 Tangential biopsy of single skin lesion	100	91	$200.00	$75.43
36415 Insertion of needle into vein for collection of blood sample	78	38	$16.00	$2.94
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	74	50	$295.00	$111.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	41	$325.00	$149.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	35	$50.00	$15.32
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	41	18	$500.00	$390.94
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	39	18	$260.00	$113.13
17110 Destruction of up to 14 skin growths	31	29	$235.48	$91.75
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	26	24	$370.00	$159.71
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	19	$300.00	$135.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$435.00	$152.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$518.46	$124.95
11104 Punch biopsy, first skin growth	13	13	$200.00	$106.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$660.00	$283.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	945	210	$25.00	$4.75
99213 Established patient office or other outpatient visit, typically 15 minutes	775	519	$135.00	$67.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	393	43	$5.00	$1.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	378	223	$80.00	$40.51
17000 Destruction of skin growth	358	267	$175.00	$52.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$200.00	$99.96
11100 Biopsy of single growth of skin and/or tissue	121	104	$200.00	$82.16
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	85	56	$295.00	$113.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	42	$50.00	$18.40
36415 Insertion of needle into vein for collection of blood sample	62	40	$16.00	$2.90
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	38	18	$260.00	$103.50
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	18	$500.00	$398.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	29	$325.00	$149.55
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	32	29	$370.00	$144.97
17110 Destruction of up to 14 skin growths	21	21	$240.00	$98.05
11101 Biopsy of each additional growth of skin and/or tissue	20	18	$75.00	$29.14
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	20	19	$290.00	$113.67
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	19	19	$660.00	$273.44
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	16	$300.00	$134.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$480.00	$131.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$660.00	$278.65
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	15	$195.00	$88.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,216	228	$25.00	$4.98
99213 Established patient office or other outpatient visit, typically 15 minutes	909	589	$135.00	$67.40
17000 Destruction of skin growth	412	289	$175.00	$51.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	353	238	$80.00	$40.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	235	33	$5.00	$1.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$200.00	$98.97
11100 Biopsy of single growth of skin and/or tissue	119	100	$200.00	$84.10
36415 Insertion of needle into vein for collection of blood sample	92	65	$16.00	$2.94
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	65	48	$295.00	$104.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	32	$50.00	$22.77
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	39	30	$370.00	$143.65
17110 Destruction of up to 14 skin growths	35	31	$240.00	$87.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	27	$325.00	$145.57
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	15	$500.00	$354.61
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	30	15	$260.00	$121.57
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	23	$300.00	$133.16
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	19	$435.00	$156.05
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	19	$1670.00	$667.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$660.00	$259.71
11101 Biopsy of each additional growth of skin and/or tissue	18	14	$75.00	$30.21
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	12	$195.00	$94.66
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$405.75	$130.15
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	12	12	$200.00	$65.28
11200 Removal of skin tag, 1-15 skin tags	11	11	$185.00	$70.26

Medical Specialties & State Licenses

CMS Verified: 2020-04-03

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TN MD17098

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License TN MD17098

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License TN MD17098

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TN MD17098

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Mallory Jennings , FNP

Nurse Practitioner - Family

NPI 1447972898

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location April 03, 2020

Registered at 2898 BOONES CREEK RD STE 105, JOHNSON CITY, TN 376154976 (Tel: 4232620112)

📍

Updated Business Mailing Address April 03, 2020

Registered at 2898 BOONES CREEK RD STE 105, JOHNSON CITY, TN 376154976 (Tel: 4232620112)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2020

Dermatology (License #MD17098 in TN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2020

Dermatology (License #MD17098 in TN)

✅

NPI Profile Active November 03, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2010

Registered at 329 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 376046062 (Tel: 4234397280)

📍

Updated Business Mailing Address November 03, 2010

Registered at PO BOX 699, MOUNTAIN HOME, TN 376840699 (Tel: 4234397280)

👤

Provider Name / Credentials Updated November 03, 2010

Recorded as STUART LEICHT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2010

Dermatology (License #MD17098 in TN)

🟢

Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013902907

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2005

Last Update: April 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2898 Boones Creek Rd Ste 105

Johnson City, TN 376154976

Phone: 4232620112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.