Active NPI
Erika Love Tanner, M.D.
- Obstetrics & Gynecology Physician
- Madison, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 21057
- Practice address
- 115 Fountains Blvd
Suite a
Madison, MS 39110-6344 - Phone
- (601) 853-0100
- Fax
- (601) 853-3999
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 21057 | MS | Primary |
Addresses
Primary practice location
115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Mailing address
115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Phone (601) 853-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Phone (601) 853-0100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21057 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison OB/GYN Associates LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Locations
160 River Oaks Dr
#B
Canton, MS 39046
Phone (601) 761-7280
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
115 Fountains Blvd
#A
Madison, MS 39110
Phone (601) 853-0100
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Madison, MS
- NPI 1699068775
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Infectious Disease Physician
- Vicksburg, MS
- NPI 1659307791
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1679732788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FOUNTAINS BLVD",
"address_2": "SUITE A",
"city": "MADISON",
"state": "MS",
"postal_code": "391106344",
"telephone_number": "601-853-0100",
"fax_number": "601-853-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FOUNTAINS BLVD",
"address_2": "SUITE A",
"city": "MADISON",
"state": "MS",
"postal_code": "391106344",
"telephone_number": "601-853-0100",
"fax_number": "601-853-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "ERIKA",
"middle_name": "LOVE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "21057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.