NPIMap

Individual provider Active NPI

Tanna S. McGee, PA

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1871505644
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004121 Issued in MI
Practice address
804 Service Rd
A142
East Lansing, MI 48824-7015
Phone
(517) 353-3050
Fax
(517) 432-3742
NPI assigned
Aug 12, 2006
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601004121 MI
Physician Assistant 363A00000X 5601004121 MI Primary

Addresses

Primary practice location

804 Service Rd
A142
East Lansing, MI 48824-7015

Mailing address

804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other identifiers 2

IdentifierTypeStateIssuer
1153312500OtherMIBLUE CROSS PIN
1871505644MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000211 MI Practitioner - Physician Assistant 8729052717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Clinton HospitalGroup PAC ID 5395658850, 23 clinicians

Practice addresses (Care Compare)

901 S Oakland St
Saint Johns, MI 48879-2255
Phone (989) 224-2338

901 S Oakland St
Suite 103 SMG St Johns General Surgery
Saint Johns, MI 48879-2200
Phone (989) 224-8971

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004121MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Nov 2, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 1, 2019 Accepting new patients
Michigan State University CurrentSince Nov 2, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 1, 2019 Accepting new patients
Lansing Ophthalmology, PC Surgical Past Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

Organizations & group practices 7

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 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1871505644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A142",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-3050",
            "fax_number": "517-432-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "TANNA",
        "middle_name": "S.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601004121",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "1153312500",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871505644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.