Dennis George Leris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103530 Issued in NC

Practice address

190 Kimel Park Dr Ste 140
Winston Salem, NC 27103-6946

Phone

(336) 277-2225

Fax

(336) 277-2231

NPI assigned

Jun 27, 2005

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Spine and Neurology, PLLCGroup PAC ID 5395114300, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Covenant Spine and Neurology, PLLC

  • Neurological Surgery Physician
  • Kernersville, NC
  • NPI 1265150494
  Medicare reassignment Care Compare group
• Eleanor Health Professional NC, PLLC

  • Psychiatry Physician
  • Hickory, NC
  • NPI 1891349155
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Medical Group, Inc

  dba Novant Health Oncology Specialists

  • Gynecologic Oncology Physician
  • Salisbury, NC
  • NPI 1033561824
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Spine Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Winston Salem, NC
  • NPI 1568808855
  NPD (past)
• Salem Neurological Center, P.a.

  • Non-Pharmacy Dispensing Site
  • Winston Salem, NC
  • NPI 1447240320
  NPD (past)
• Triangle Pain Institute

  • Interventional Pain Medicine Physician
  • Raleigh, NC
  • NPI 1710592399
  NPD (past)

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

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Northern Hospital of Surry County

  dba North Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1629074323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-277-2225",
            "fax_number": "336-277-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KIMEL PARK DR STE 140",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-277-2225",
            "fax_number": "336-277-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Olde Waterford Way",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514125",
            "country_code": "US",
            "telephone_number": "910-210-0656",
            "fax_number": "910-383-2184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Miller St Ste I",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27104",
            "country_code": "US",
            "telephone_number": "336-277-2225",
            "fax_number": "336-277-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERIS",
        "first_name": "DENNIS",
        "middle_name": "GEORGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103530",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "000103530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Calhoun Leonard, MS, CCC-SLP
• Paul Bryan Leonard, OTR,L, CLT
• Ralph Beaumont Leonard, MD
• Robert Adam Leonard, CRNA
• Denise Joann Leone, DNP, CPNP, RN
• Harry Lerner, MA, LPCA, NCC
• Lynn Carol Lerner, LCSW
• Lindsay Lesavage, DPM
• Joseph Jude Lesh, M.D.
• Barry Leshin, M.D.

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.