Organization 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
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TANNER MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1867CMedicaidGA

Other names 1

  • Tanner Center for Sleep Disorders Doing business as

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.

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.

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

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.

Verify at the official NPI Registry.