Individual provider Active NPI

Tanner C McGinty, PA

  • Physician Assistant
  • Fayetteville, AR
National Provider Identifier
1780010546
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone
(479) 521-2752
Fax
(479) 521-4603
NPI assigned
Sep 24, 2013
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Orthopaedic Surgery Physician 207X00000X PA-524 AR

Addresses

Primary practice location

3352 N Futrall Dr
Fayetteville, AR 72703-4057

Mailing address

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752

Other practice location 1

609 W Maple Ave
Springdale, AR 72764-5335
Phone (800) 893-9698 ext. 2569

Other practice location 2

1800 SE Moberly Ln
Bentonville, AR 72712-7017
Phone (479) 521-2752

Other practice location 3

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tanner.mcginty.1@18403.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20140130000441 AR Practitioner - Physician Assistant 9133358708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Orthopaedics, P.a.Group PAC ID 2860477189, 57 clinicians

Practice addresses (Care Compare)

1800 SE Moberly LN
Ozark Orthopaedics
Bentonville, AR 72712-7017
Phone (479) 521-2752

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752

3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-2752

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-524ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians, LLP Physician Assistant CurrentSince Jan 2, 2014 Accepting new patients
South Arkansas Emergency Physicians, LLP Physician Assistant CurrentSince Jan 2, 2014 Accepting new patients
Ozark Orthopaedics, PA Orthopaedic Surgery CurrentSince Oct 17, 2022 Accepting new patients
Ozark Orthopaedics, P.a. Orthopaedic Surgery CurrentSince Oct 17, 2022 Accepting new patients

Locations

1800 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 521-2752

3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752

3352 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 521-1427

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tanner.mcginty.1@18403.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1780010546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 N FUTRALL DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727645335",
            "country_code": "US",
            "telephone_number": "800-893-9698 x2569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 SE Moberly Ln",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727127017",
            "country_code": "US",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3317 N Wimberly Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034056",
            "country_code": "US",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINTY",
        "first_name": "TANNER",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "PA-524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tanner.mcginty.1@18403.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3352 N Futrall Dr",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.