Lisette Davidson Tanner, M.D., MPH

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

86451 Issued in GA

Practice address

2000 10TH Ave Ste 100
Columbus, GA 31901-3703

Phone

(706) 571-1285

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Lisette Irene Davidson Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Medicare reassignment Care Compare group NPD
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381

  Obstetrics & Gynecology

  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  Maternal & Fetal Medicine

  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1114183779
  NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• The Medical Center Inc

  • Community/Retail Pharmacy
  • Columbus, GA
  • NPI 1366492456
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1356617435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "832-325-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013703",
            "telephone_number": "706-571-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303000",
            "country_code": "US",
            "telephone_number": "832-325-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "LISETTE",
        "middle_name": "DAVIDSON",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "86451",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A131471",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "86451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "DAVIDSON",
            "middle_name": "IRENE",
            "credential": "M.D., MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Enriquez Talley
• Ava Talorico
• Tamara'S Variety of Services
• Nora G Tan-Ngo, M.D.
• Rishab Tandon, MD
• Larry C. Tanniehill Jr.
• Turena Raphiel Tante
• Julianne Tanyel
• Alexander J Tapley
• Eugenia Taras, PAA

• Maternal & Fetal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Maternal & Fetal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.

Verify at the official NPI Registry.