Individual provider Active NPI

Leona R. Lenaz, CFNP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1396883716
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN193714 Issued in GA
Practice address
790 Church St NE Ste 335
Marietta, GA 30060-8957
Phone
(770) 590-8311
Fax
(770) 590-8313
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11010191 FL
Nurse Practitioner 363L00000X RN193714 GA Primary

Addresses

Primary practice location

790 Church St NE Ste 335
Marietta, GA 30060-8957

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 590-8311

Other practice location 1

3720 Beach Blvd
Jacksonville, FL 32207-3814
Phone (832) 604-3771

Other practice location 2

1717 N E St Ste 231
Pensacola, FL 32501-6390
Phone (850) 469-7975

Other identifiers 6

IdentifierTypeStateIssuer
349156122AMedicaidGA
202I503405OtherGAMEDICARE PTAN
349156122CMedicaidGA
349156122RMedicaidGA
109754200MedicaidFL
349156122VMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leona.lenazfnpc.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080218000001 GA Practitioner - Nurse Practitioner 2365540655 Reassigns benefits to 1 organization
I20210308001359 FL Practitioner - Nurse Practitioner 2365540655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1114 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4836
Phone (850) 469-7975

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Jan 1, 2013 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Current Accepting new patients
Baptist Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jan 1, 2013 Accepting new patients
The Medical Oncology Group Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

1114 Gulf Breeze Pkwy
Gulf Breeze, FL 32561
Phone (850) 469-7975

125 Baptist Way
Ste 1C
Pensacola, FL 32503
Phone (448) 227-6000

1717 N E St
Ste 231
Pensacola, FL 32501
Phone (850) 444-4785

1717 N E St
Ste 134
Pensacola, FL 32501
Phone (850) 469-2200

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

620 J L White Dr
Ste 140
Jasper, GA 30143
Phone (706) 253-3500

6300 Hospital Pkwy
Ste 300
Johns Creek, GA 30097
Phone (770) 623-8965

790 Church St NE
Ste 335
Marietta, GA 30060
Phone (770) 590-8311

340 Kennestone Hospital Blvd
Ste 100
Marietta, GA 30060
Phone (770) 281-5100

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: leona.lenazfnpc.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 8

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1396883716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "770-590-8311",
            "fax_number": "770-590-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 335",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608957",
            "telephone_number": "770-590-8311",
            "fax_number": "770-590-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073814",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 N E St Ste 231",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016390",
            "country_code": "US",
            "telephone_number": "850-469-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENAZ",
        "first_name": "LEONA",
        "middle_name": "R.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010191",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN193714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349156122A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I503405",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349156122C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349156122R",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109754200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349156122V",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leona.lenazfnpc.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "790 Church St NE Ste 335",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300608957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.