DR. MARY TANNER (NPI# 1174751549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174751549 |
| Entity Type | Individual |
| Full Name | DR. MARY TANNER |
| Credential | M.D. |
| Practice Address |
1600 Clifton Rd Ne Atlanta GA 30329 |
| Mailing Address |
259 Lake Ruby Dr Suwanee GA 30024-2399 |
| Practice Telephone | 4046393311 |
| Mailing Telephone | 8165098082 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
2011009937 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639583420 | Mary Beth Tanner | Occupational Therapist | 1907 Refinery Rd, Gainesville, TX 76240-2111 | 2014-06-19 |
| 1538590641 | Mary Therese Tanner | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2013-11-29 |
| 1063767796 | Mary Ellen Tanner | Social Worker | 4740 N Grand Ave, Covina, CA 91724-2005 | 2012-07-18 |
| Street Address |
1600 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693347 | Aimee E. A. Anido | Genetic Counselor, MS | 1600 Clifton Rd Ne, Mail-stop E86, Atlanta, GA 30329-4018 | 2005-10-18 |
| 1568977346 | Benedict Ignatius Truman | Preventive Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-12-03 |
| 1437675568 | Jasmine Agostino | Social Worker | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-08-21 |
| 1972039386 | Michelle Chang | Internal Medicine | 1600 Clifton Rd Ne, Mailstop A-06, Atlanta, GA 30329-4018 | 2017-05-04 |
| 1336692193 | Shua Chai | Preventive Medicine | 1600 Clifton Rd Ne, Ms E-98, Atlanta, GA 30329-4018 | 2016-07-28 |
| 1235580796 | Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd Ne, Mailstop A-19, Atlanta, GA 30329-4018 | 2016-06-27 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1053708768 | Michael Francis Melgar | Internal Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2015-04-20 |
| 1881091361 | Rajni Gunnala | Pediatrics | 1600 Clifton Rd Ne, Clifton Campus; Bldg 21; Ms A-04, Atlanta, GA 30329-4018 | 2014-11-26 |
| 1649687419 | James Alexander Jr. | Preventive Medicine | 1600 Clifton Rd Ne, Mailstop A-04, Atlanta, GA 30329-4018 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1780959635 | Nicole J Cohen | Pediatrics | 1600 Clifton Rd Ne # Msc-01, Atlanta, GA 30329-4018 | 2012-03-11 |
| 1215144472 | William Matthew Linam | Pediatrics | 2015 Uppergate Drive Room 534, Atlanta, GA 30322-3500 | 2007-05-17 |
| 1679789333 | Pediatric Infectious Disease Associates | Pediatrics | 993 F Johnson Ferry Road, Suite 370, Atlanta, GA 30342 | 2007-05-16 |
| 1801978291 | Leanne M Fox | Pediatrics | Division of Parasitic Disease, Cdc, 4770 Buford Highway, Ne, Ms F-22, Atlanta, GA 30341 | 2006-10-19 |
| 1881621050 | Elizabeth R Miller | Pediatrics | 993-f Johnson Ferry Rd, Suite 370, Atlanta, GA 30342 | 2006-06-26 |
| 1851343701 | Frank Oliver Richards Jr. | Pediatrics | 2015 Uppergate Drive Ne, Atlanta, GA 30322-0001 | 2006-05-17 |
| 1720348485 | Jenny Anne Walldorf | Pediatrics | 550 Peachtree St Ne, Atlanta, GA 30308 | 2012-05-29 |
| 1932499589 | Amelia Anne Keaton | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1151 | 2011-04-17 |
| 1487955100 | Lakshmi Panagiotakopoulos | Pediatrics | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2010-11-11 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on DR. MARY TANNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.