Organization Active NPI

TMC/Higgins General Hospital

  • Community/Retail Pharmacy
  • Carrollton, GA
National Provider Identifier
1003406463
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TMC/HIGGINS GENERAL HOSPITAL
Practice address
706 Dixie St Ste 140
Carrollton, GA 30117-3859
Phone
(770) 812-8222
Fax
(770) 836-9600
NPI assigned
Jan 20, 2021
Organization subpart
Yes
Parent organization
TMC/HIGGINS GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Carol S. Crews
Title
Cfo
Phone
(770) 812-9745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

706 Dixie St Ste 140
Carrollton, GA 30117-3859

Mailing address

109 Cedar St Ste C
Carrollton, GA 30117-2667
Phone (770) 812-5770

Other names 1

  • TANNER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324002130 GA Part B Supplier - Pharmacy 0547179665 Practice locations: Carrollton, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Higgins General Hospita

Locations

706 Dixie St
Ste 140
Carrollton, GA 30117
Phone (770) 812-8222

100 Professional Pl
Ste 305
Carrollton, GA 30117

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Primary Care of BremenBremen, GA, CCN 118505 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1003406463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CEDAR ST STE C",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172667",
            "telephone_number": "770-812-5770",
            "fax_number": "770-836-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 140",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173859",
            "telephone_number": "770-812-8222",
            "fax_number": "770-836-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC/HIGGINS GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TMC/HIGGINS GENERAL HOSPITAL",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-812-9745"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.