Organization Active NPI

Tanner Occupational Health

  • Occupational Medicine Clinic/Center
  • Carrollton, GA
National Provider Identifier
1043229420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
TANNER OCCUPATIONAL HEALTH
Practice address
706 Dixie St
Carrollton, GA 30117-3819
Phone
(770) 836-9697
Fax
(770) 836-9897
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lee C. Sherseth
Title
Cfo
Phone
(770) 836-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

706 Dixie St
Carrollton, GA 30117-3819

Mailing address

706 Dixie St
Carrollton, GA 30117-3819
Phone (770) 836-9697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043229420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173819",
            "telephone_number": "770-836-9697",
            "fax_number": "770-836-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173819",
            "telephone_number": "770-836-9697",
            "fax_number": "770-836-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERSETH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-836-9697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.