MR. WILLIAM JEFFREY TANNER (NPI# 1629121736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629121736 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JEFFREY TANNER |
| Credential | ATC |
| Practice Address |
2336 Dawson Rd Suite 1100 Albany GA 31707-2442 |
| Mailing Address |
1719 Pineknoll Ln Albany GA 31707-3770 |
| Practice Telephone | 2293128733 |
| Mailing Telephone | 2294385532 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
543 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104080993 | William Robert Tanner | Optometrist | 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314 | 2008-07-11 |
| 1861528374 | William Woodland Tanner | Dentist | 1939 East 5600 South, Salt Lake City, UT 84121 | 2007-02-26 |
| 1083721484 | William Geoff Tanner | Chiropractor | 8737 Dunwoody Pl, Suite 1, Atlanta, GA 30350-2985 | 2006-08-23 |
| 1750361952 | William John Tanner | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2006-01-23 |
| 1043702004 | William Tanner | Counselor | 427 W Tunnel Blvd, Houma, LA 70360-5591 | 2018-06-05 |
| 1467904797 | William Tanner | Physician Assistant | 6701 Fannin St, Houston, TX 77030-2608 | 2016-11-03 |
| 1659707529 | William Blake Tanner | Speech-Language Pathologist | 1110 Call Creek Dr, Suite 4b, Pocatello, ID 83201-3001 | 2013-09-23 |
| 1306015144 | William Dale Tanner Jr. | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2008-02-26 |
| 1801817606 | William Marcus Tanner | Psychologist | 3939 Atlantic Ave, Suite 208, Long Beach, CA 90807-3536 | 2006-07-21 |
| 1457383929 | William S. Tanner | Radiology | 2125 Oak Grove Rd Ste 200, Walnut Creek, CA 94598 | 2006-07-07 |
| Street Address |
2336 DAWSON RD SUITE 1100 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356345 | Brandy P Dew | Nurse Practitioner | 2336 Dawson Rd, Ste 1500, Albany, GA 31707-2442 | 2005-09-17 |
| 1023569951 | Sarah Lynn Codrea | Family Medicine | 2336 Dawson Rd, Ste 2200, Albany, GA 31707-2800 | 2016-10-14 |
| 1518413467 | Brittany S English | Physical Therapist | 2336 Dawson Rd, Ste 1100, Albany, GA 31707-2800 | 2016-08-31 |
| 1386198455 | John Royal Macon Jr. | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2016-08-06 |
| 1700232774 | Tiera Barron | Family Medicine | 2336 Dawson Rd, Suite 1500, Albany, GA 31707 | 2016-05-10 |
| 1386028256 | Sharmon Osae | Pharmacist | 2336 Dawson Rd, #1500, Albany, GA 31707-2800 | 2015-07-10 |
| 1053799973 | Monisola Modupe Sanusi | Family Medicine | 2336 Dawson Rd, 1100, Albany, GA 31707-2800 | 2015-05-12 |
| 1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
| 1760871420 | Emantavius Williams | Family Medicine | 2336 Dawson Rd, Albany, GA 31707-2800 | 2015-01-20 |
| 1750799581 | Kirsty L Vanderwalt | Physical Therapist | 2336 Dawson Rd, Albany, GA 31707-2800 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1093355794 | Kevin Tarpey | Specialist/Technologist | 140 New Scotland Ave, Albany, NY 12208-3423 | 2020-01-10 |
| 1174169015 | Cheryl Hurd | Specialist/Technologist | 9 Lawn Ave, Albany, NY 12204-2615 | 2019-11-26 |
| 1730731225 | Therese Lisieux Broderick | Specialist/Technologist | 391 W Lawrence St, Albany, NY 12208-2135 | 2019-07-15 |
| 1861950693 | Grace Elizabeth David | Specialist/Technologist | 29805 Amvets Rd, Albany, LA 70711-4218 | 2019-03-11 |
| 1225595754 | Victoria Kreger | Specialist/Technologist | 6311 Rosemarie St Ne, Albany, OR 97321-7407 | 2019-02-20 |
| 1831653740 | Cheyanne Hope Duckson | Specialist/Technologist | 1211 Highview Dr, Albany, MN 56307-9319 | 2019-01-24 |
| 1235603994 | Jacqueline Coyne | Specialist/Technologist | 12 Airline Dr, Albany, NY 12205-1004 | 2019-01-16 |
| 1982177507 | Matthew Snow | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A25, Albany, NY 12222-0001 | 2019-01-07 |
| 1326537176 | Kimberly Ann Wersted | Specialist/Technologist | 1400 Washington Ave Sefcu A25, Albany, NY 12222-0001 | 2018-05-08 |
| 1659860419 | Patrick Mars | Specialist/Technologist | 1400 Washington Ave Sefcu A-25, Albany, NY 12222-0001 | 2018-05-08 |
| Find all providers in ALBANY | ||||
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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.