Individual provider Active NPI

Betsy Erin Tanner, MSN-FNP, BC

  • Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1295387751
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN227397 Issued in GA
Practice address
2505 Longhorn Rd
Waycross, GA 31501-7639
Phone
(912) 269-8467
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN227397 GA Primary

Addresses

Primary practice location

2505 Longhorn Rd
Waycross, GA 31501-7639

Mailing address

2505 Longhorn Rd
Waycross, GA 31501-7639
Phone (912) 269-8467

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
I20191211003242 GA Practitioner - Nurse Practitioner 7113128141 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bethany Hospice and Palliative Care, LLCGroup PAC ID 1052409414, 2 clinicians
Satilla Rheumatology and Internal Medicine, PCGroup PAC ID 5193852150, 7 clinicians

Practice addresses (Care Compare)

2700 N Oak St
BLDG B
Valdosta, GA 31602-5903
Phone (229) 242-8904

615 Pendleton St
Suite a
Leesville, GA 71446-4724
Phone (865) 531-0176

Hospital & facility affiliations

  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN227397GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Hospice of Georgia, LLC CurrentSince Feb 1, 2026 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 5, 2021 Accepting new patients
Satilla Rheumatology and Internal Medicine, PC CurrentSince Jan 20, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 5, 2021 Accepting new patients
Peach Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Ahmed Elsharkawi MD LLC CurrentSince Jan 1, 2023 Accepting new patients
Bethany Hospice and Palliative Care, LLC CurrentSince Jan 1, 2024 Accepting new patients
Bethany Hospice and Palliative Care of Coastal Georgia, LLC CurrentSince May 24, 2025 Accepting new patients
Charlton Family Care, Inc Past Accepting new patients
Altamaha DME, Inc PastSince Feb 1, 2009 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

223 Bay St
Baxley, GA 31513
Phone (912) 548-0710

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723

109 S Duval St
Claxton, GA 30417
Phone (205) 734-1298

3722 Main St
Folkston, GA 31537
Phone (912) 496-1155

2383 Third St
Folkston, GA 31537
Phone (912) 496-1155

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

2700 N Oak St
Bldg N
Valdosta, GA 31602

2700 N Oak St
Bldg B
Valdosta, GA 31602
Phone (229) 219-7993

615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: betsy.tanner@4247.securemail.prognocis.com
  • Direct secure messaging: betsy.tannernp.p1@direct.satillarheum.nextgenshare.com

Organizations & group practices 10

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1295387751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LONGHORN RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017639",
            "telephone_number": "912-269-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LONGHORN RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017639",
            "telephone_number": "912-269-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "BETSY",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MSN-FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN227397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.