Individual provider Active NPI

Marc Anthony Tanner, M.D.

  • Orthopaedic Hand Surgery Physician
  • Piedmont, SC
National Provider Identifier
1629153283
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
33960 Issued in SC
Practice address
3150 Highway 153
Piedmont, SC 29673-9498
Phone
(864) 295-1231
Fax
(864) 295-0095
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 33960 SC Primary

Addresses

Primary practice location

3150 Highway 153
Piedmont, SC 29673-9498

Mailing address

3150 Highway 153
Piedmont, SC 29673-9498
Phone (864) 295-1231

Other practice location 1

35 International Dr
Greenville, SC 29615-4816
Phone (864) 234-7654

Other practice location 2

123 Wg Acker Dr
Pickens, SC 29671-2739
Phone (864) 295-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000509 SC Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4587835442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Ortho and Sports MedicineGroup PAC ID 8921108432, 4 clinicians

Practice addresses (Care Compare)

3150 Hwy 153
Piedmont, SC 29673-9498
Phone (864) 295-1231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33960SCMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Ortho & Sports Medicine CurrentSince Sep 1, 2020 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Interoperability endpoints

  • Direct secure messaging: mtanner@poa1920.srs-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1629153283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-295-1231",
            "fax_number": "864-295-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-295-1231",
            "fax_number": "864-295-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 International Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154816",
            "country_code": "US",
            "telephone_number": "864-234-7654",
            "fax_number": "864-675-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Wg Acker Dr",
            "address_purpose": "LOCATION",
            "city": "Pickens",
            "state": "SC",
            "postal_code": "296712739",
            "country_code": "US",
            "telephone_number": "864-295-1231",
            "fax_number": "864-295-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "SC",
            "license": "33960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.