Individual provider Active NPI

Leonard John Tananis Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • High Point, NC
National Provider Identifier
1336254697
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9501124 Issued in NC
Practice address
1580 Skeet Club Rd
High Point, NC 27265-9530
Phone
(368) 883-0029
Fax
(368) 830-8673
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 9501124 NC Primary

Addresses

Primary practice location

1580 Skeet Club Rd
High Point, NC 27265-9530

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

Other practice location 1

3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 883-0029

Other practice location 2

5093 University Pkwy
Winston Salem, NC 27106-6085
Phone (336) 883-0029

Other identifiers 1

IdentifierTypeStateIssuer
891197MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000336 NC Practitioner - Physical Medicine and Rehabilitation 5395798060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Gatewood Ave
High Point, NC 27262-4822

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center CurrentSince Oct 15, 2019 Accepting new patients
Bethany Medical Center, PA CurrentSince Oct 15, 2019 Accepting new patients
Bethany Medical Center Current Accepting new patients
Bethany Medical Center, PA Past Accepting new patients
Fred Jamie W Holland II MD PC Past Accepting new patients
Rocky Mount Rehabilitation Associates, PLLC Physical Medicine & Rehabilitation PastSince Jan 1, 1990 Accepting new patients
Carolina Rehabilitation and Surgical Associates, PA Physical Medicine & Rehabilitation PastSince Nov 17, 2025 Accepting new patients
Bethany Medical Center Past Accepting new patients
St Vincent Medical Education and Research Institute Inc Past Accepting new patients

Locations

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3610 Peters Ct
High Point, NC 27265

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

507 N Lindsay St
High Point, NC 27262

5093 University Pkwy
Winston Salem, NC 27106

Interoperability endpoints

  • Direct secure messaging: leonardtananis@bethanymed.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1336254697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SKEET CLUB RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659530",
            "telephone_number": "368-883-0029",
            "fax_number": "368-830-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 Battleground Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102578",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5093 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271066085",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANANIS",
        "first_name": "LEONARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "9501124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891197M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.