Active NPI
Tanner Medical Center, Inc
Doing business as Tanner Center for Sleep Disorders
- Sleep Disorder Diagnostic Clinic/Center
- Carrollton, GA
National Provider Identifier
1306356035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- TANNER MEDICAL CENTER, INC
- Doing business as
- Tanner Center for Sleep Disorders
- Practice address
- 100 Professional PL Ste 307
Carrollton, GA 30117-3872 - Phone
- (770) 812-9146
- NPI assigned
- Oct 9, 2017
- Last updated
- Oct 9, 2017
- Organization subpart
- Yes
- Parent organization
- TANNER MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol S. Crews
- Title
- Cfo
- Phone
- (770) 812-9580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | Primary |
Addresses
Primary practice location
100 Professional PL Ste 307
Carrollton, GA 30117-3872
Mailing address
100 Professional PL Ste 305
Carrollton, GA 30117-3872
Phone (770) 812-8614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1867C | Medicaid | GA |
Other names 1
- Tanner Center for Sleep Disorders
National Provider Directory
National Provider Directory- Part of
- TMC Franklin Fam HLTH C
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Tanner Boutique
- Durable Medical Equipment & Medical Supplies
- Carrollton, GA
- NPI 1104850965
Member Of
Locations
100 Professional Pl
Ste 307
Carrollton, GA 30117
Phone (770) 812-5978
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Tanner Health System
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507507200000",
"number": "1306356035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL PL STE 305",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173872",
"telephone_number": "770-812-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL PL STE 307",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173872",
"telephone_number": "770-812-9146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANNER MEDICAL CENTER, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TANNER MEDICAL CENTER, INC.",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A",
"authorized_official_last_name": "CREWS",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "770-812-9580"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1867C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tanner Center for Sleep Disorders",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, GA
- Jennifer Talley, LCSW
- Parris Janae Tanksley, MD
- Tanner Bridge Clinic Inc
- Tanner Imaging Center
- Tanner Medical Center, Inc (Tanner Medical Center Inpatient Rehabilitation Facility)
- Tanner Medical Center, Inc (Tanner Health System)
- Tanner Medical Center, Inc
- Tanner Medical Center, Inc. (Tanner Boutique)
- Tanner Medical Center, Inc. (Tanner Behavior Health Inpatient Unit)
- Tanner Medical Center, Inc. (Tanner Skilled Nursing Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.