Lydia Chaney Tanner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53885 Issued in GA

Practice address

100 Doctors Dr Ste G
Douglas, GA 31533-2211

Phone

(912) 384-6186

Fax

(912) 384-6187

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Mercer University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
• Adoration Home Health Home health agency, Douglas, GA, CCN 117316
• Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
• Coastal Hospice of Georgia Hospice, Brunswick, GA, CCN 851542
• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089
• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
• Bacon County Hospital Hospital, Alma, GA, CCN 111327

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lydia.tanner.1@9964.direct.athenahealth.com

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.

• CRH Physician Practices, LLC

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  Medicare reassignment Care Compare group NPD
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• CRH Physician Practices LLC

  • Surgery Physician
  • Waycross, GA
  • NPI 1154794857
  NPD (past)

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Waycross, GA
  • NPI 1316120322
  Care Compare affiliation
• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Vidalia, GA
  • NPI 1366627986
  Care Compare affiliation
• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Coffee Regional Medical Center, Inc

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation
• Legacy Hospice Ga LLC

  • Community Based Hospice Care Agency
  • Brunswick, GA
  • NPI 1861158768
  Care Compare affiliation
• Legacy Hospice Ga, LLC

  • Community Based Hospice Care Agency
  • Brunswick, GA
  • NPI 1477153492
  Care Compare affiliation
• Tift Regional Health System Inc.

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation
• Ware Visiting Nurses Service, Inc

  • Home Health Agency
  • Douglas, GA
  • NPI 1962483867
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790799740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341377",
            "telephone_number": "912-384-1477",
            "fax_number": "912-384-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR STE G",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332211",
            "telephone_number": "912-384-6186",
            "fax_number": "912-384-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Doctors Dr Ste S",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332203",
            "country_code": "US",
            "telephone_number": "912-292-0658",
            "fax_number": "912-292-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "LYDIA",
        "middle_name": "CHANEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366115747B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "053885",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366115747A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swain Drug Company LLC
• Jared William Swain, PHARMD
• Alyssa Taft, FNP-C
• Tanner Optical, Inc.
• Diana June Tanner
• Marshall Glynn Tanner, M.D.
• Aubreyanna Taylor, MSN, FNP-BC
• Bridgett S Taylor, NP
• Heather Brooke Taylor
• Mirandi Taylor

• Family Medicine Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.