TANNER MEDICAL CENTER, INC. (NPI# 1619953882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953882 |
| Entity Type | Organization |
| Organization Name | TANNER MEDICAL CENTER, INC. |
| Other Organization Name | TANNER SKILLED NURSING FACILITY |
| Practice Address |
705 Dixie St Carrollton GA 30117-3818 |
| Practice Telephone | 7708369697 |
| Practice Fax Number | 7708369897 |
| Mailing Telephone | 7708369697 |
| Mailing Fax Number | 7708369897 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | MR. LEE C. SHERSETH (CFO) |
| Authorized Official Telephone | 7708369697 |
| Is Organization Subpart | Y |
| Parent Organization Name | TANNER MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-0221537 | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tanner Skilled Nursing Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033441290 | Tanner Medical Center, Inc. | Counselor | 101 Quartz Dr Ste 103a, Villa Rica, GA 30180-3256 | 2010-02-12 |
| 1104850965 | Tanner Medical Center, Inc. | Prosthetic/Orthotic Supplier | 157 Clinic Ave, Suite 202, Carrollton, GA 30117-4454 | 2006-07-10 |
| 1508842774 | Tanner Medical Center, Inc. | Psychiatric Unit | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-12-20 |
| Street Address |
705 DIXIE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848799 | Lawrence Brett Carter | Pharmacist | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-08-22 |
| 1760007322 | Crystal Renee Grayson | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-06-10 |
| 1962025361 | Amanda Hasty Mcentyre | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1265055669 | Purdy Jackson | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1528681921 | Amanda Phillips Kranz | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1699396630 | Katherine Victoria White | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-04-30 |
| 1144866047 | Jennifer Tiffany Jiles | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-11-26 |
| 1750934733 | Tiffany Landry | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104479195 | Kim Rowell | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104478916 | Brandon Gabe Graves | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891116836 | Carrollton Cypress LLC | Skilled Nursing Facility | 2327 N Highway 27, Carrollton, GA 30117-6701 | 2013-12-18 |
| 1588095061 | Remarkable Healthcare of Carrollton, Lp | Skilled Nursing Facility | 4501 Plano Parkway, Carrollton, TX 75010 | 2013-12-09 |
| 1225358500 | Platinum Select Staffing | Skilled Nursing Facility | 1737 E Frankford Rd Apt 1404, Carrollton, TX 75007-5630 | 2010-06-09 |
| 1659696177 | Eastland Memorial Hospital District | Skilled Nursing Facility | 2135 North Denton Drive, Carrollton, TX 75006-3103 | 2010-03-29 |
| 1932301942 | Cantex Health Care Centers LLC | Skilled Nursing Facility | 2537 Golden Bear Dr, Carrollton, TX 75006-2377 | 2007-06-01 |
| 1093847378 | Diversified Healthcare-dallas LLC | Skilled Nursing Facility | 1855 Cheyenne Dr, Carrollton, TX 75010-2201 | 2007-03-12 |
| 1578642252 | Eastland Memorial Hospital District | Skilled Nursing Facility | 1618 Kirby Rd, Carrollton, TX 75006-7453 | 2006-11-03 |
| 1932298064 | Carrollton Health Care Center Ltd Co | Skilled Nursing Facility | 2245 Marsh Lane, Carrollton, TX 75006-2612 | 2006-10-12 |
| 1568419083 | The Oaks - Carrollton, LLC | Skilled Nursing Facility | 921 Old Newnan Rd, Carrollton, GA 30116-8094 | 2006-05-29 |
| 1902853591 | United Investors Lp | Skilled Nursing Facility | 300 Life Care Ln, Carrollton, MO 64633-1861 | 2006-05-28 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.