Active NPI
Tanner Coggin Clay, DNP
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-150084
- Practice address
- 1802 6TH Ave S
Birmingham, AL 35233-1932 - Phone
- (205) 934-3411
- NPI assigned
- May 11, 2021
- Last updated
- May 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-150084 | AL | Primary |
Addresses
Primary practice location
1802 6TH Ave S
Birmingham, AL 35233-1932
Mailing address
1701 1St Ave S Apt 334
Birmingham, AL 35233-1844
Phone (256) 736-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cullman Regional Pain Services LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
1403 Wall St
Cullman, AL 35055
Phone (256) 734-9472
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
1912 AL Highway 157
Ste 100
Cullman, AL 35058
Phone (256) 737-2235
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
Interoperability endpoints
- tcclay@direct.uabmedicine.org
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cullman, AL
- NPI 1326507013
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jack Hughston Memorial Hospital
- General Acute Care Hospital
- Phenix City, AL
- NPI 1023050101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1255915633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 1ST AVE S APT 334",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331844",
"telephone_number": "256-736-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331932",
"telephone_number": "205-934-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "TANNER",
"middle_name": "COGGIN",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-150084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.