Active NPI
David D Tanner, MD
- Allergy & Immunology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 20834
- Practice address
- 2045 Peachtree Rd NE Ste 800
Atlanta, GA 30309-1412 - Phone
- (770) 953-3331
- Fax
- (404) 351-5753
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 20834 | GA | Primary |
Addresses
Primary practice location
2045 Peachtree Rd NE Ste 800
Atlanta, GA 30309-1412
Mailing address
8200 Roberts Dr Ste 450
Sandy Springs, GA 30350-4115
Phone (770) 952-8612
Other practice location 1
6300 Hospital Pkwy Ste 250
Duluth, GA 30097-2454
Phone (770) 953-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00384953B | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Vanderbilt University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2045 Peachtree Rd NE
Suite 800
Atlanta, GA 30309-1407
Phone (404) 351-5711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20834 | GA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Allergy & Asthma Clinic PA | Allergy & Immunology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Allergy & Immunology | Past | Accepting new patients |
Locations
1965 N Park Pl SE
#200
Atlanta, GA 30339
Phone (404) 585-3724
2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300
2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711
1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774
100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000
2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838
4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374
1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400
6300 Hospital Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 495-6258
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723
600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030
1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252
1121 Johnson Ferry Rd
Bldg 1
Marietta, GA 30068
Phone (678) 718-2940
1519 Johnson Ferry Rd
Ste 200
Marietta, GA 30062
Phone (770) 973-5578
14 Riverbend Dr SW
Rome, GA 30161
Phone (706) 234-0094
1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807
800 Mount Vernon Hwy NE
Ste 390
Sandy Springs, GA 30328
Phone (404) 252-4207
8200 Roberts Dr
Ste 450
Sandy Springs, GA 30350
1780 Presidential Cir
#200
Snellville, GA 30078
Phone (678) 280-0202
1600 Medical Way
Ste 200
Snellville, GA 30078
Phone (770) 979-7466
830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888
1272 Virgil Langford Rd
Ste 202
Watkinsville, GA 30677
Phone (770) 880-6955
100 Stoneforest Dr
Ste 220
Woodstock, GA 30189
Phone (770) 924-0096
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFBA
- david.tanner@atlantaallergy.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
-
- Allergy & Immunology Physician
- Charlotte, NC
- NPI 1215573423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1396785218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 ROBERTS DR STE 450",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303504115",
"telephone_number": "770-952-8612",
"fax_number": "678-803-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PEACHTREE RD NE STE 800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091412",
"telephone_number": "770-953-3331",
"fax_number": "404-351-5753"
}
],
"practiceLocations": [
{
"address_1": "6300 Hospital Pkwy Ste 250",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300972454",
"country_code": "US",
"telephone_number": "770-953-3331",
"fax_number": "770-495-8219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANNER",
"first_name": "DAVID",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "20834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00384953B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.