Active NPI
Johnson Dean Tanner, M.D.
- Diagnostic Radiology Physician
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15195
- Practice address
- 113 W Jackson St Ste B
Ridgeland, MS 39157-2402 - Phone
- (601) 354-4327
- Fax
- (601) 360-0822
- NPI assigned
- Oct 10, 2006
- Last updated
- Oct 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15195 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 15195 | MS | Primary |
Addresses
Primary practice location
113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
1225 N State St Ste 100
Jackson, MS 39202-2064
Phone (601) 714-6400
Other practice location 2
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261
Other practice location 3
100 Highway 16 E
Carthage, MS 39051-4202
Phone (601) 267-1100
Other practice location 4
2520 5th St N
Columbus, MS 39705-2008
Phone (662) 244-1670
Other practice location 5
220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315
Other practice location 6
100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2110
Other practice location 7
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611
Other practice location 8
1225 N State St
Jackson, MS 39202-2064
Phone (601) 714-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124325 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, KY, WV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Mississippi School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731
137 Woodland Hills Blvd
Madison, MS 39110-7823
Phone (615) 312-0600
190 Rolling Meadows Rd
Ridgeland, MS 39157-9442
Phone (219) 767-6320
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
253 Ridge Dr
Jackson, MS 39216-4112
Phone (888) 501-6087
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500
Hospital & facility affiliations
- Thomas Memorial Hospital
- Pikeville Medical Center
- Berkeley Medical Center
- Clark Regional Medical Center
- Tristar Northcrest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.5 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Association | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Hma Hospitalists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Hma Hospitalists, LLC | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Radiological Group, PA | Specialist | Current | Accepting new patients |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| THS Physician Partners Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Community Health Association | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1225 N State St
Ste 2C
Jackson, MS 39202
Phone (601) 968-1000
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1107 Highland Colony Pkwy
Ste 209
Ridgeland, MS 39157
Phone (601) 360-0823
113 W Jackson St
Ste B
Ridgeland, MS 39157
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
L3539
Columbus, OH 43260
Phone (304) 414-4800
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Interoperability endpoints
- jtanner219369@ummc.direct-ci.com
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Diagnostic Radiology
-
- Hospitalist Physician
- Jackson, MS
- NPI 1154608883
Diagnostic Radiology
-
- Specialist
- Jackson, MS
- NPI 1346398625
-
- Diagnostic Radiology Physician
- Dickson, TN
- NPI 1770667289
-
dba CarePlus Internal Medicine
- Hospitalist Physician
- Flowood, MS
- NPI 1245578558
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
dba Thomas Memorial Hospital
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
dba Clark Regional Medical Center
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
dba NorthCrest Medical Center
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1336237825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W JACKSON ST STE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572402",
"telephone_number": "601-354-4327",
"fax_number": "601-360-0822"
}
],
"practiceLocations": [
{
"address_1": "1225 N State St Ste 100",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392022064",
"country_code": "US",
"telephone_number": "601-714-6400",
"fax_number": "901-714-6499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "823 Grand Ave",
"address_purpose": "LOCATION",
"city": "Yazoo City",
"state": "MS",
"postal_code": "391943233",
"country_code": "US",
"telephone_number": "662-746-2261",
"fax_number": "662-746-4839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Highway 16 E",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "MS",
"postal_code": "390514202",
"country_code": "US",
"telephone_number": "601-267-1100",
"fax_number": "601-267-1469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2520 5th St N",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "MS",
"postal_code": "397052008",
"country_code": "US",
"telephone_number": "662-244-1670",
"fax_number": "662-244-1058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Highway 12 W",
"address_purpose": "LOCATION",
"city": "Kosciusko",
"state": "MS",
"postal_code": "390903208",
"country_code": "US",
"telephone_number": "662-290-3315",
"fax_number": "601-974-6245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hospital St",
"address_purpose": "LOCATION",
"city": "Booneville",
"state": "MS",
"postal_code": "388293354",
"country_code": "US",
"telephone_number": "662-538-2110",
"fax_number": "662-538-2110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Burke Calhoun City Rd",
"address_purpose": "LOCATION",
"city": "Calhoun City",
"state": "MS",
"postal_code": "389169690",
"country_code": "US",
"telephone_number": "662-628-6611",
"fax_number": "662-628-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392022064",
"country_code": "US",
"telephone_number": "601-714-6400",
"fax_number": "601-714-6499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANNER",
"first_name": "JOHNSON",
"middle_name": "DEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "15195",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "15195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124325",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.