Susan L Tanner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25488 Issued in GA

Practice address

3200 Downwood Cir NW
Suite 520
Atlanta, GA 30327-1610

Phone

(404) 845-7484

Fax

(404) 549-3005

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: susan.tanner.1@6806.direct.athenahealth.com

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1417174269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-845-7484",
            "fax_number": "404-549-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-845-7484",
            "fax_number": "404-549-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "25488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "582645783",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Tanner, LPC
• David D Tanner, MD
• Mark L Tanner, MD
• Mary Tanner, M.D.
• Robin Tanner, MS,RD,LD
• Sydney Tanner
• Thomas Tanner, CNIM
• William Geoff Tanner, D.C.
• Michelle N. Tanory, PAAA
• Braham Narayan Taparia, M.D.

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.