TANNER MEDICAL CENTER, INC (NPI# 1306356035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306356035 |
| Entity Type | Organization |
| Organization Name | TANNER MEDICAL CENTER, INC |
| Other Organization Name | TANNER CENTER FOR SLEEP DISORDERS |
| Practice Address |
100 Professional Pl Ste 307 Carrollton GA 30117-3872 |
| Mailing Address |
100 Professional Pl Ste 305 Carrollton GA 30117-3872 |
| Practice Telephone | 7708129146 |
| Mailing Telephone | 7708128614 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | CAROL S. CREWS (CFO) |
| Authorized Official Telephone | 7708129580 |
| Is Organization Subpart | Y |
| Parent Organization Name | TANNER MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1867C | 05 |
| Other Name | Type Code |
|---|---|
| Tanner Center for Sleep Disorders | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063766582 | Tanner Medical Center, Inc | Rehabilitation Unit | 705 Dixie St, Carrollton, GA 30117-3818 | 2012-11-06 |
| 1871502260 | Tanner Medical Center, Inc | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2006-08-05 |
| 1801883780 | Tanner Medical Center, Inc | General Acute Care Hospital | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-10-05 |
| Street Address |
100 PROFESSIONAL PL STE 307 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803590 | Melody Johnson | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
| 1114530839 | Tina Garrett | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259570 | Tusonah Ann Birmingham | Clinic/Center | 7297 Walton Hl, Fairburn, GA 30213-7110 | 2020-09-14 |
| 1336623834 | Proact LLC | Clinic/Center | 6160 Peachtree Dunwoody Rd Ste A103, Sandy Springs, GA 30328-4578 | 2018-09-20 |
| 1003396359 | Nations Sleep Disorder Centers LLC of Gerogia | Clinic/Center | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2018-08-16 |
| 1669952917 | Nations Sleep Disorder Centers LLC of Middle Georgia | Clinic/Center | 524 S Houston Lake Rd Ste E200, Warner Robins, GA 31088-9057 | 2018-08-16 |
| 1306358668 | Rss Gary Nelson LLC | Clinic/Center | 11912 Jones Bridge Rd Ste B, Alpharetta, GA 30005-4613 | 2017-10-26 |
| 1730626219 | Somnacare LLC | Clinic/Center | 1954 Airport Rd Ste 222, Chamblee, GA 30341-4936 | 2017-01-23 |
| 1225493869 | Usa Sleep Dianostic Mobile Service LLC | Clinic/Center | 233 12th St Ste 910b, Columbus, GA 31901-2462 | 2015-12-28 |
| 1285003350 | Georgia Neurodiagnostics, LLC | Clinic/Center | 3295 River Exchange Dr Ste 561-133, Norcross, GA 30092-4241 | 2015-09-18 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 1861731663 | Reliance Sleep Centers of America Inc | Clinic/Center | 993 Yeomans St, Blackshear, GA 31516-2083 | 2013-02-14 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on TANNER MEDICAL CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.