Active NPI
Richard Tanner, D.O.
- Internal Medicine Physician
- Copperhill, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 074384
- Practice address
- 144 Medical Center Dr Ste C
Copperhill, TN 37317-5006 - Phone
- (423) 548-1520
- Fax
- (423) 548-1521
- NPI assigned
- Jan 11, 2011
- Last updated
- Jun 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | UO2391 | FL | |
| Internal Medicine Physician | 207R00000X | 074384 | GA | Primary |
Addresses
Primary practice location
144 Medical Center Dr Ste C
Copperhill, TN 37317-5006
Mailing address
144 Medical Center Dr Ste C
PO Box 1173
Copperhill, TN 37317-5006
Phone (423) 548-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2341 | TN | MD | Dental Hygienist |
| UO2391 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Valley Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| App of Tennessee HM, PLLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Hidden Valley Medical Center Inc | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263
2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066
2855 Old Highway 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066
2855 Old Highway 5
Ste 111
Blue Ridge, GA 30513
Phone (706) 632-0088
2855 Old Highway 5
Ste 2
Blue Ridge, GA 30513
Phone (706) 946-4210
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4
- rtanne02@yourcarecommunity.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Internal Medicine
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1578717682
Internal Medicine, TN
-
- Internal Medicine Physician
- Blue Ridge, GA
- NPI 1073516621
-
- Emergency Medicine Physician
- Blue Ridge, GA
- NPI 1174024376
-
dba Appalachian Physicians Group
- Rural Health Clinic/Center
- Blue Ridge, GA
- NPI 1710215355
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1477858116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 MEDICAL CENTER DR STE C",
"address_2": "PO BOX 1173",
"city": "COPPERHILL",
"state": "TN",
"postal_code": "373175006",
"telephone_number": "423-548-1520",
"fax_number": "423-548-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 MEDICAL CENTER DR STE C",
"city": "COPPERHILL",
"state": "TN",
"postal_code": "373175006",
"telephone_number": "423-548-1520",
"fax_number": "423-548-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "RICHARD",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-11",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO2391",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "074384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copperhill, TN
- Sheena Gaddis Rymer, LMSW
- John Franklin Samples, FNP-BC
- Eric Lee Satterfield, D.O.
- Mahmood Abdul Siddiqui, M.D.
- State of Tennessee (Polk County Health Department- Copper Basin)
- Roy Allen Tipton, R.PH.
- Stephen M. Treon, MD,PHD
- Tri-State Center for Hope and Healing LLC
- Allen Stephen Uhlik, M.D.
- Bethany Whitener, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.