DR. SUSAN L TANNER (NPI# 1417174269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174269 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L TANNER |
| Credential | M.D. |
| Practice Address |
3200 Downwood Cir Nw Suite 520 Atlanta GA 30327-1610 |
| Practice Telephone | 4048457484 |
| Practice Fax Number | 4045493005 |
| Mailing Telephone | 4048457484 |
| Mailing Fax Number | 4045493005 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25488 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | FEDERAL TAX ID | 582645783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669916953 | Susan Emerald Tanner | Behavior Technician | 2551 E County Road 62e, Wellington, CO 80549-1502 | 2016-12-06 |
| 1932537511 | Susan Tanner | Registered Nurse | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-10-17 |
| 1770813263 | Susan Tanner | Dietitian, Registered | 2401 S 31st St, Temple, TX 76508-0001 | 2010-01-05 |
| 1316134687 | Susan L Tanner | Occupational Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2007-10-01 |
| Street Address |
3200 DOWNWOOD CIR NW SUITE 520 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708929 | Novamed Management Services LLC | Clinic/Center | 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 | 2005-05-23 |
| 1679185342 | Carmen Bradshaw | Nurse Practitioner | 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 | 2020-08-23 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| 1174072383 | Pamela Lyman | Nurse Practitioner | 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 | 2016-09-28 |
| 1811357502 | Stacey Dawn Tatroe | Nurse Practitioner | 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 | 2016-02-24 |
| 1528425360 | Clark Laser & Cosmetic Dermatology, LLC | Dermatology | 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610 | 2016-01-25 |
| 1831554765 | Atlanta Knee and Shoulder Clinic PC | Non-Pharmacy Dispensing Site | 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 | 2015-12-18 |
| 1699143131 | Atlanta Center for Endodontics, P.C. | Clinic/Center | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1407224991 | Melanie Burns | Dentist | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1770963993 | Ansley Mccarter | Physical Therapist | 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| Find all providers in ATLANTA | ||||
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| 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.