Made to Order
Homemade pizza sauce, real mozzarella and Italian dinners like lasagna, manicotti and stuffed shells baked fresh.
Our story
Authentic Italian cooking, generous portions and a dining room that feels like a trip to Italy — right here in Midtown Shopping Center.

Tiano’s Pizza opened its doors in Madison, North Carolina in 1988. Ever since, we have been serving Madison, Mayodan and the surrounding towns the food we are proud of: hand-tossed pizza with homemade sauce, thick Sicilian squares, overstuffed subs, stromboli, calzones and Italian classics baked to order.
Walk in and you will see hand-painted murals of Italy along our walls — and a colorful wall of paper-plate art created by the kids who grow up eating here.
Why locals love us
Homemade pizza sauce, real mozzarella and Italian dinners like lasagna, manicotti and stuffed shells baked fresh.
Gluten-free pizza and pasta, a $6.50 kids’ menu, burgers and hot dogs, salads, draft beer and wine.
Pay with cash, debit, credit or Apple Pay. We never add credit card fees to your bill.

Whether it is a quick slice at lunch, a team dinner after the game or a birthday with the grandparents, Tiano’s is a place where everyone is welcome. We do not take reservations — just come on in.
Call ahead for takeout, order pickup or delivery online, or stop by our dining room in Midtown Shopping Center.