DR. LESLIE WEYLON PANUS M.D. NPI 1063416089

NPI Information

  • NPI: 1063416089
  • Provider Name: DR. LESLIE WEYLON PANUS, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 107 WOODLAWN DR
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 929-7168

Map and Directions

Get Directions

NPI Details

DR. Leslie Weylon Panus, M.D. is a nephrology internal medicine in Johnson City, TN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Leslie Weylon Panus, M.D. NPI is 1063416089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604-978
Phone: (423) 929-7168
Fax: (423) 928-9625

The enumeration date for this NPI number is 6/8/2005 and was last updated on 12/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMD27541TENNESSEENo
2207RN0300XInternal MedicineNephrologyMD27541TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13098628MEDICAIDTENNESSEE
23098628MEDICARE PINTENNESSEE
3C79128MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI