Individual provider Active NPI

William Geoff Tanner, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1083721484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO006491 Issued in GA
Practice address
8737 Dunwoody PL
Suite 1
Atlanta, GA 30350-2985
Phone
(770) 552-3282
Fax
(770) 552-3102
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO006491 GA Primary

Addresses

Primary practice location

8737 Dunwoody PL
Suite 1
Atlanta, GA 30350-2985

Mailing address

8737 Dunwoody PL
Suite 1
Atlanta, GA 30350-2985
Phone (770) 552-3282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000998 GA Practitioner - Chiropractic 6204096092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1132 Hightower TRL
Suite 205B
Atlanta, GA 30350-6236
Phone (770) 552-3282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO006491GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Chiropractic Chiropractor CurrentSince Oct 1, 2001 Accepting new patients
Boutwell Chiropractic Group PC Chiropractor PastSince Feb 1, 1998 Accepting new patients

Locations

1132 Hightower Trl
Ste 205B
Sandy Springs, GA 30350
Phone (770) 552-3282

8737 Dunwoody Pl
Ste 1
Sandy Springs, GA 30350
Phone (770) 552-3282

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083721484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 DUNWOODY PL",
            "address_2": "SUITE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502985",
            "telephone_number": "770-552-3282",
            "fax_number": "770-552-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 DUNWOODY PL",
            "address_2": "SUITE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502985",
            "telephone_number": "770-552-3282",
            "fax_number": "770-552-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "WILLIAM",
        "middle_name": "GEOFF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.