NPIMap

Individual provider Active NPI

Jonathan David Tenley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Morganton, NC
National Provider Identifier
1154881506
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
787 Issued in NC
Practice address
2209 S Sterling St Ste 530
Morganton, NC 28655-4093
Phone
(828) 580-2250
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 787 NC Primary

Addresses

Primary practice location

2209 S Sterling St Ste 530
Morganton, NC 28655-4093

Mailing address

2209 S Sterling St Ste 530
Morganton, NC 28655-4093
Phone (828) 580-2250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtenley1042459@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220729002844 NC Practitioner - Podiatry 8628450103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

722 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (828) 580-3572

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue69
Removal of skin lesions15
Removal of nail tissue74
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
787NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MSP Boone Clinic, PLLC Single Specialty CurrentSince Jan 13, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Single Specialty CurrentSince Nov 25, 2024 Accepting new patients
MSP Boone Clinic, PLLC Single Specialty Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Single Specialty CurrentSince Nov 25, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Single Specialty Current Accepting new patients
Smoky Mountain Foot Clinic PA Single Specialty Past Accepting new patients

Locations

610 State Farm Rd
Ste C
Boone, NC 28607
Phone (828) 265-3668

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 530
Morganton, NC 28655
Phone (828) 580-4230

Interoperability endpoints

  • Direct secure messaging: jtenley1042459@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1154881506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 530",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 530",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENLEY",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtenley1042459@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2209 S Sterling St Ste 530",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286554093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.