Individual provider Active NPI

Cala Brooke Tanner

  • Family Nurse Practitioner
  • Reidsville, GA
National Provider Identifier
1114579331
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249159 Issued in GA
Practice address
125 Memorial Dr
Reidsville, GA 30453-4641
Phone
(912) 644-5300
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN249159 GA Primary

Addresses

Primary practice location

125 Memorial Dr
Reidsville, GA 30453-4641

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 644-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112001992 GA Practitioner - Nurse Practitioner 8325470487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tattnall Healthcare LLC 4 clinicians
Tattnall Hospital Company LLC 47 clinicians

Practice addresses (Care Compare)

247 S Main St
Reidsville, GA 30453-4605

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

Hospital & facility affiliations

  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC Current Accepting new patients
Tattnall Hospital Company, LLC CurrentSince Sep 3, 2019 Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients

Locations

125 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3434

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

440 Mall Blvd
Ste C
Savannah, GA 31406

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

Interoperability endpoints

  • Direct secure messaging: cala.tanner@healthiealerts.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1114579331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MALL BLVD STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064868",
            "telephone_number": "912-644-3340",
            "fax_number": "912-644-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEMORIAL DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534641",
            "telephone_number": "912-644-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CALA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, GA

Sources for this page

Verify at the official NPI Registry.