Active NPI
Tanner Medical Center, Inc.
- Skilled Nursing Facility
- Carrollton, GA
National Provider Identifier
1619953882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-0221537
- Legal business name
- TANNER MEDICAL CENTER, INC.
- Doing business as
- Tanner Skilled Nursing Facility
- Practice address
- 705 Dixie St
Carrollton, GA 30117-3818 - Phone
- (770) 836-9697
- Fax
- (770) 836-9897
- NPI assigned
- Dec 20, 2005
- Organization subpart
- Yes
- Parent organization
- TANNER MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee C. Sherseth
- Title
- Cfo
- Phone
- (770) 836-9697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-0221537 | GA | Primary |
Addresses
Primary practice location
705 Dixie St
Carrollton, GA 30117-3818
Mailing address
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 836-9697
Other names 1
- Tanner Skilled Nursing Facility
National Provider Directory
National Provider Directory- Part of
- Tanner Medical Center Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1619953882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-836-9697",
"fax_number": "770-836-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-836-9697",
"fax_number": "770-836-9897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANNER MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TANNER MEDICAL CENTER, INC.",
"enumeration_date": "2005-12-20",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "SHERSETH",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "770-836-9697",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "1-0221537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tanner Skilled Nursing Facility",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.