Frank Tanner, SA-C, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3142 Highway 278 NW #135
Covington, GA 30014

Phone

(678) 516-2119

NPI assigned

Feb 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Spectrum Surgical LLC

  • Surgical Physician Assistant
  • Covington, GA
  • NPI 1639704307
  NPD Authorized official

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1922422278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 HIGHWAY 278 NW # 135",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142304",
            "telephone_number": "678-516-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 HIGHWAY 278 NW #135",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "678-516-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "FRANK",
        "credential": "SA-C, CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweet Serenity Personal Care Home LLC
• Synergize2Energize,LLC
• T4TS Transport
• Samantha Joi Tait, DNP, CPNP-PC
• Jane Soon-Yuen Tan, M.D.
• Ankra Tanyi, RPH
• Maryam Tarar, DO
• Jody S. Tarleton, PSY., LPC
• Antionette Tate, LPC
• Teddie Demont Taylor

• Surgical Physician Assistant in Covington, GA
• Providers in Covington, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.