Individual provider Active NPI

Tanna Janelle Boyer, D.O.

  • Pediatric Anesthesiology Physician
  • Augusta, GA
National Provider Identifier
1497929624
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
069807 Issued in GA
Practice address
1446 Harper St # Bt2651
Chog Department of Pediatric Anesthesia
Augusta, GA 30912-4810
Phone
(814) 574-7026
Fax
(706) 721-7753
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OT012665 PA
Pediatric Anesthesiology Physician 207LP3000X 069807 GA Primary

Addresses

Primary practice location

1446 Harper St # Bt2651
Chog Department of Pediatric Anesthesia
Augusta, GA 30912-4810

Mailing address

1446 Harper St # Bt2651
Chog Department of Pediatric Anesthesia
Augusta, GA 30912-4810
Phone (814) 574-7026

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tboyer1@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 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
I20130808000457 GA Practitioner - Anesthesiology 0042452724 Reassigns benefits to 1 organization
I20161110002230 IN Practitioner - Anesthesiology 0042452724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Anesthesiology Associates-Pediatrics, LLCGroup PAC ID 5698770527, 31 clinicians
Iu Health Medical Group Riley Specialists LLCGroup PAC ID 9638669815, 285 clinicians

Practice addresses (Care Compare)

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-9981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012665PAMDAnesthesiology Physician
069807GAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients
Iu Anesthesiology Associates-Pediatrics, LLC Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC Anesthesiology CurrentSince Jul 15, 2013 Accepting new patients

Locations

1120 15th St
Rm 2144
Augusta, GA 30912
Phone (706) 721-3873

1446 Harper St
#2651
Augusta, GA 30912
Phone (814) 574-7026

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1497929624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST # BT2651",
            "address_2": "CHOG DEPARTMENT OF PEDIATRIC ANESTHESIA",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309124810",
            "telephone_number": "814-574-7026",
            "fax_number": "706-721-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST # BT2651",
            "address_2": "CHOG DEPARTMENT OF PEDIATRIC ANESTHESIA",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309124810",
            "telephone_number": "814-574-7026",
            "fax_number": "706-721-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "TANNA",
        "middle_name": "JANELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OT012665",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "GA",
            "license": "069807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tboyer1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1446 Harper St # Bt2651",
            "address_2": "CHOG Department of Pediatric Anesthesia",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309124810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.