Individual provider Active NPI

Richard Tanner, D.O.

  • Internal Medicine Physician
  • Copperhill, TN
National Provider Identifier
1477858116
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
074384 Issued in GA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120515000461 TN Practitioner - Internal Medicine 9537322375 Reassigns benefits to 3 organizations
Practice locations: Copperhill, TN
I20150819008872 GA Practitioner - Internal Medicine 9537322375 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2341TNMDDental Hygienist
UO2391FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Medical Center Inc Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Nov 11, 2019 Accepting new patients
Emergency Coverage, LLC Internal Medicine CurrentSince Dec 17, 2014 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Jul 15, 2013 Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Aug 1, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.