NPIMap

Organization Active NPI

TMC/Villa Rica Hospital, Inc

Doing business as Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
National Provider Identifier
1851388748
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
022-424 Issued in GA
Legal business name
TMC/VILLA RICA HOSPITAL, INC
Doing business as
TMC Villa Rica Hospital Inc
Tanner Health System
Tanner Medical Center Villa Rica
Practice address
601 Dallas Hwy
Villa Rica, GA 30180-1202
Phone
(770) 812-3000
Fax
(770) 456-3390
NPI assigned
Oct 5, 2005
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Carol S. Crews
Title
Cfo
Phone
(770) 812-9745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 022-424 GA Primary

Addresses

Primary practice location

601 Dallas Hwy
Villa Rica, GA 30180-1202

Mailing address

PO Box 277368
Atlanta, GA 30384-7368
Phone (770) 812-3000

Other practice location 1

705 Dallas Hwy Ste 302
Villa Rica, GA 30180-1243
Phone (770) 812-3000

Other identifiers 1

IdentifierTypeStateIssuer
000002032AMedicaidGA

Other names 3

  • TMC VILLA RICA HOSPITAL INC Doing business as
  • Tanner Health System Doing business as
  • Tanner Medical Center Villa Rica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031205000465 GA Part B Supplier - Clinic/Group Practice 2961307533 Practice locations: Carrollton, GA
O20071221000421 GA Part A Provider - Hospital 2961307533 Practice locations: Atlanta, GA; Cartersville, GA; Villa Rica, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851388748. Details of each certification follow.

Hospital certification: CCN 110015

Legal name
TMC VILLA RICA HOSPITAL, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 2, 2024
Beds
40
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1988 in GA
Enrollment address
601 Dallas Hwy
Villa Rica, GA 30180-1202
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Tanner Medical Center Villa RicaCCN 110015 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0691309Tanner Medical Center Villa Rica601 Dallas Road, Villa Rica, GA 30180AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tanner Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

958 Joe Frank Harris Pkwy SE
Bldg A103
Cartersville, GA 30120

705 Dallas Hwy
Ste 302
Villa Rica, GA 30180
Phone (770) 812-3000

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carol Crews Individual W-2 Managing EmployeeCfo Feb 1, 2014
Tanner Medical Center Inc Organization, Carrollton, GA Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 23, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

Affiliated clinicians 343

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 343

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1851388748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277368",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847368",
            "telephone_number": "770-812-3000",
            "fax_number": "770-456-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DALLAS HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801202",
            "telephone_number": "770-812-3000",
            "fax_number": "770-456-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Dallas Hwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801243",
            "country_code": "US",
            "telephone_number": "770-812-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TMC/VILLA RICA HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-812-9745"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "022-424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002032A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMC VILLA RICA HOSPITAL INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanner Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanner Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanner Medical Center Villa Rica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.