Tanner Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

TANNER MEDICAL GROUP INC

Practice address

100 Greenway Blvd FL 2
Carrollton, GA 30117-4338

Phone

(770) 838-8710

Fax

(770) 812-5735

NPI assigned

May 13, 2009

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint Hoffman

Title

Sr VP

Phone

(770) 812-8845

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Enrollment records 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Tanner Medical Center, Inc.

  dba Tanner Boutique

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
  • NPI 1104850965

  Member Of

  NPD member
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tanner Primary Care of Wedowee Inc

  dba Wedowee Rural Health

  • Rural Health Clinic/Center
  • Wedowee, AL
  • NPI 1396002515

  Member Of

  NPD member

Locations (25 of 35)

Practitioners 381

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jawaid Ahsan, MD

  • Neurology Physician
  • Rome, GA
  • NPI 1578618815
  Medicare reassignment Care Compare group NPD
• Anota Akofu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Carrollton, GA
  • NPI 1215376140

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• April Allen, FNP-C

  • Family Nurse Practitioner
  • Carrollton, GA
  • NPI 1194372532
  Medicare reassignment Care Compare group NPD
• Christopher B Arant, M.D.

  • Interventional Cardiology Physician
  • Carrollton, GA
  • NPI 1083787089

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Brian E Barden, M.D.

  • Surgery Physician
  • Carrollton, GA
  • NPI 1679557078
  Medicare reassignment Care Compare group NPD
• Mary Bereznak

  • Nurse Practitioner
  • Carrollton, GA
  • NPI 1447135157
  Medicare reassignment Care Compare group NPD
• Latoya Pulliam Bexley, N.P.

  • Family Nurse Practitioner
  • Carrollton, GA
  • NPI 1003190455
  Medicare reassignment Care Compare group NPD
• Melanie Danielle Anderson Brown, NP

  • Family Nurse Practitioner
  • Temple, GA
  • NPI 1093460727
  Medicare reassignment Care Compare group NPD
• Hector Alejandro Caceres Serrano, MD

  • Obstetrics Physician
  • Villa Rica, GA
  • NPI 1437340270

  AL

  Medicare reassignment Care Compare group NPD
• Kristen Carman, FNB-BC

  • Nurse Practitioner
  • Carrollton, GA
  • NPI 1801562376
  Medicare reassignment Care Compare group NPD
• Latanya Renee Chapman, MD

  • Family Medicine Physician
  • Villa Rica, GA
  • NPI 1538621099
  Medicare reassignment Care Compare group NPD
• Zeinab Charmchi, MD

  • Neurology Physician
  • Villa Rica, GA
  • NPI 1811471147
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1396979787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY BLVD FL 2",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174338",
            "telephone_number": "770-838-8710",
            "fax_number": "770-812-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY BLVD FL 2",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174338",
            "telephone_number": "770-838-8710",
            "fax_number": "770-812-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "770-812-8845"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G707301",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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)
• Tanner Medical Group Inc (West Georgia Urology Associates)
• Tanner Neuroscience Specialist
• Tanner Occupational Health
• Tanner Oncology Services Inc
• Sherry Gwyn Taylor Akers, M.D.
• Erin Taylor

• Cardiovascular Disease Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.