Individual provider Active NPI

Tanner Wayne Grant, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1902388002
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39104 Issued in AL
Practice address
7449 Eastchase Pkwy
Montgomery, AL 36117-6846
Phone
(334) 747-4030
NPI assigned
Sep 5, 2018
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39104 AL Primary

Addresses

Primary practice location

7449 Eastchase Pkwy
Montgomery, AL 36117-6846

Mailing address

2702 Cunningham CT
Opelika, AL 36801-6864
Phone (334) 403-0222

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200803001560 AL Practitioner - Orthopedic SurgeryPractitioner - Family PracticePractitioner - Emergency Medicine 7719302157 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Emergency Medicine
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Medical Services of Alabama, Inc.Group PAC ID 7719365352, 12 clinicians

Practice addresses (Care Compare)

101 Hospital Dr
Luverne, AL 36049-7344
Phone (334) 335-3374

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-6931

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39104ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine CurrentSince Apr 26, 2022 Accepting new patients
Ies Alabama PLLC CurrentSince May 25, 2024 Accepting new patients
The East Alabama Health Care Authority CurrentSince Jul 1, 2021 Accepting new patients
The East Alabama Health Care Authority CurrentSince Jul 1, 2021 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 25, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 26, 2022 Accepting new patients
Ess of Luverne LLC CurrentSince Dec 5, 2020 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Apr 14, 2020 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
American Family Care, LLC Current Accepting new patients
Crenshaw County Health Care Authority CurrentSince Jul 24, 2020 Accepting new patients
Ivy Creek of Elmore LLC CurrentSince Apr 14, 2020 Accepting new patients
Keystone Medical Services of Alabama, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Current Accepting new patients
American Family Care LLC CurrentSince Jan 25, 2025 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

900 Camp Auburn Rd
Auburn, AL 36832
Phone (334) 364-3000

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4371 Narrow Lane Rd
Ste 100
Montgomery, AL 36116
Phone (334) 613-3680

7449 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 747-4030

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 17

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.

View all 17

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1902388002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CUNNINGHAM CT",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016864",
            "telephone_number": "334-403-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7449 EASTCHASE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176846",
            "telephone_number": "334-747-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TANNER",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "39104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.