Individual provider Active NPI

Kristina Tanner, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1164055018
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1579 Issued in AL
Practice address
52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428
Phone
(205) 838-4747
Fax
(205) 383-1251
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1579 AL Primary

Addresses

Primary practice location

52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428

Mailing address

52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428
Phone (205) 838-4747

Other names 1

  • Kristina Tanner Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.alabamaorthopaedicsurgeons.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200407001156 AL Practitioner - Physician Assistant 9032548458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
68.83
Promoting interoperability
89
Improvement activities
40
Cost
83.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Jun 1, 2021 Accepting new patients
Urology Centers of Alabama PC CurrentSince Aug 1, 2022 Accepting new patients
Jason D. Cobb, MD, LLC Past Accepting new patients

Locations

3489 Independence Dr
Birmingham, AL 35209

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

817 Princeton Ave SW
Ste 118
Birmingham, AL 35211
Phone (205) 787-2669

3125 Independence Dr
Ste 200
Homewood, AL 35209
Phone (205) 558-3427

3485 Independence Dr
Homewood, AL 35209

3485 Independence Dr
Ste 200
Homewood, AL 35209
Phone (205) 414-4557

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1164055018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E STE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353428",
            "telephone_number": "205-838-4747",
            "fax_number": "205-383-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E STE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353428",
            "telephone_number": "205-838-4747",
            "fax_number": "205-383-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KRISTINA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.alabamaorthopaedicsurgeons.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "52 Medical Park Dr E Ste 220",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "TANNER",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.