MS. DONNA M. LEACH (AU.D.) – Audiologist, NPI 1003813791

MS. DONNA M. LEACH (AU.D.) is a healthcare provider. based in Smyrna, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 001542 (GA). The NPI Number for MS. DONNA M. LEACH (AU.D.) is 1003813791

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. DONNA M. LEACH (AU.D.)
NPI
1003813791
Phone
(770) 425-1095
Address
2430 ATLANTA RD
Enumeration Date
7 July 2005
Last Update Date
18 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703438675
Graduation Year
2004 (22 years ago)
PAC ID
8426004482
Group Practice PAC ID
8022184415
Professional Enrollment ID
I20111209000444
Address ID
GA300764919RO2500XBLVD304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

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Provider Addresses for MS. DONNA M. LEACH (AU.D.)

  • 2430 ATLANTA RD

    SUITE 100

    SMYRNA, GA 30080

    Phone: (770) 425-1095

    Fax: (770) 425-4330

    Type: Mailing

  • Atlanta Road Southeast, Smyrna, Cobb, Georgia, 30080, United States

    SMYRNA, GA 30080

    Phone: (770) 425-1095

    Fax: (770) 425-4330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111209000444IQualified AudiologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022184415View full group profile
NameSpecialtyState
-GA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
Qualified AudiologistGA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. DONNA M. LEACH (AU.D.)?
NPI 1003813791 is assigned to MS. DONNA M. LEACH (AU.D.) under the national enumeration system.
Does this profile mean MS. DONNA M. LEACH (AU.D.) is currently active?
Yes — MS. DONNA M. LEACH (AU.D.) appears active in the national provider directory.
Does MS. DONNA M. LEACH (AU.D.) list a primary specialty?
If you are matching referrals, note Audiologist for MS. DONNA M. LEACH (AU.D.). Clinical services aligned with this taxonomy classification.
Where is MS. DONNA M. LEACH (AU.D.)'s primary listing?
We display Smyrna, Georgia because that is what the record indicates for MS. DONNA M. LEACH (AU.D.).
What if Smyrna, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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