Active NPI
Tanner Oncology Services Inc
- Medical Oncology Physician
- Carrollton, GA
National Provider Identifier
1710515184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- TANNER ONCOLOGY SERVICES INC
- Practice address
- 157 Clinic Ave Ste 202
Carrollton, GA 30117-4454 - Phone
- (770) 333-2220
- Fax
- (678) 581-7180
- NPI assigned
- Mar 31, 2020
- Last updated
- Feb 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clint Hoffman
- Title
- Sr. VP of Operations
- Phone
- (770) 838-8302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | NU | Primary |
Addresses
Primary practice location
157 Clinic Ave Ste 202
Carrollton, GA 30117-4454
Mailing address
100 Greenway Blvd FL 2
Carrollton, GA 30117-4338
Phone (770) 838-8710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0930730 | Tanner Oncology Services | Compliance | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Carrollton, GA
- NPI 1194729582
-
- Hematology & Oncology Physician
- Carrollton, GA
- NPI 1659378867
-
- Hematology & Oncology Physician
- Carrollton, GA
- NPI 1386900488
-
- Physician Assistant
- Carrollton, GA
- NPI 1407314370
-
- Nurse Practitioner
- Carrollton, GA
- NPI 1639174600
-
- Nurse Practitioner
- Carrollton, GA
- NPI 1922329424
-
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1245705425
-
- Physician Assistant
- Gainesville, GA
- NPI 1760539175
-
- Medical Physician Assistant
- Carrollton, GA
- NPI 1003811886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709164800000",
"number": "1710515184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENWAY BLVD FL 2",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174338",
"telephone_number": "770-838-8710",
"fax_number": "770-812-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CLINIC AVE STE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174454",
"telephone_number": "770-333-2220",
"fax_number": "678-581-7180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANNER ONCOLOGY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-31",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "CLINT",
"authorized_official_title_or_position": "SR. VP OF OPERATIONS",
"authorized_official_telephone_number": "770-838-8302"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
- Tanner Medical Center, Inc. (Tanner Skilled Nursing Facility)
- Tanner Medical Group Inc (West Georgia Urology Associates)
- Tanner Medical Group Inc
- Tanner Neuroscience Specialist
- Tanner Occupational Health
- Sherry Gwyn Taylor Akers, M.D.
- Erin Taylor
- Savannah Turner Taylor
- Irene Wakam Tchuente, MD
- Tejal a Kakade, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.