Virginia Allison Tanner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN217872 Issued in GA

Practice address

2420 Westgate Dr
Suite 102
Albany, GA 31707-2249

Phone

(229) 903-4044

Fax

(229) 903-4055

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19533/brand/1/csg/1/fhir/r4

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.

• Pratt Medical Services, LLC

  • Family Medicine Physician
  • Clayton, GA
  • NPI 1194283002
  Medicare reassignment NPD
• Prestige Pediatrics PC

  • Pediatrics Physician
  • Albany, GA
  • NPI 1578794640
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1679921134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N MAIN ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254254",
            "telephone_number": "706-960-9550",
            "fax_number": "706-960-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WESTGATE DR",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072249",
            "telephone_number": "229-903-4044",
            "fax_number": "229-903-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "VIRGINIA",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "GA",
            "license": "RN217872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN217872",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britanny Tait, RDH
• Joseph L Talley III, CRNA
• Thomas Carter Talley, M.D.
• Marcia T Tankersley, CNP
• Dwayne L Tanner
• William Jeffrey Tanner, ATC
• Shamicah Shanell Tardy
• Randi Tatum, DO
• Celia Moulton Taylor, PHARM.D
• Chris E. Taylor, LMT

• Family Nurse Practitioner in Albany, GA
• Providers in Albany, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.

Verify at the official NPI Registry.