STACY TANNER (NPI# 1760908917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760908917 |
| Entity Type | Individual |
| Full Name | STACY TANNER |
| Credential | PA-C |
| Practice Address |
325 Georgia Ave Ste 100 North Augusta SC 29841-3848 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 8032023351 |
| Practice Fax Number | 8038198532 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8443 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1021 Silver Bluff Rd, Aiken, SC 298035879 | 8036480587 | 8036489846 |
| 107 Walnut Ln Ste 102, North Augusta, SC 298608629 | 8032027110 | 8032027111 |
| 447 N Belair Rd Ste 101, Evans, GA 308093091 | 7068542222 | 7068542016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
| 1780732776 | Stacy Tanner | Audiologist | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2007-01-08 |
| Street Address |
325 GEORGIA AVE STE 100 |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29841-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902886724 | Erich Rolland Heinz | Family Medicine | 325 Georgia Ave Ste 100, North Augusta, SC 29841-3848 | 2006-01-18 |
| 1255888970 | Falguni Patel | Physician Assistant | 325 Georgia Ave Ste 100, North Augusta, SC 29841 | 2016-09-10 |
| 1629462122 | Umg Prompt Care South Carolina, LLC | Nurse Practitioner | 325 Georgia Ave Ste 100, North Augusta, SC 29841-3848 | 2015-03-23 |
| 1104254820 | Jessica Spirl | Physician Assistant | 325 Georgia Ave Ste 100, North Augusta, SC 29841-3848 | 2013-10-15 |
| 1770723579 | Millicent Porter-jenkins | Nurse Practitioner | 325 Georgia Ave Ste 100, North Augusta, SC 29841-3848 | 2009-03-06 |
| 1386845881 | Susan Batchelor Towner | Nurse Practitioner | 325 Georgia Ave Ste 100, North Augusta, SC 29841 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238685 | Essential Health & Wellness | Nurse Practitioner | 616 Edgefield Rd Unit 170, North Augusta, SC 29841 | 2020-09-02 |
| 1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
| 1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
| 1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
| 1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
| 1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
| 1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
| 1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
| Find all providers in zip 29841 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851837991 | Erica West | Physician Assistant | 200 Runnel Vw, North Augusta, SC 29841-6044 | 2017-01-12 |
| 1053450510 | Curtis Mcneely Wright | Physician Assistant | 616 Edgefield Rd Ste 180, North Augusta, SC 29841-6407 | 2007-02-05 |
| 1891344081 | Samantha Zoltak | Physician Assistant | 140 Allen Ct, North Augusta, SC 29860-9782 | 2019-09-10 |
| 1801445432 | Caroline Powell Turner | Physician Assistant | 309 West Ave, North Augusta, SC 29841-3800 | 2019-09-06 |
| 1649700378 | Clayton Morris Miller | Physician Assistant | 309 West Ave, North Augusta, SC 29841-3800 | 2017-06-15 |
| 1255888970 | Falguni Patel | Physician Assistant | 325 Georgia Ave Ste 100, North Augusta, SC 29841 | 2016-09-10 |
| 1215484530 | Elizabeth Gray Bryan | Physician Assistant | 336 Georgia Ave, North Augusta, SC 29841-3849 | 2016-09-02 |
| 1699884957 | Michael Adam | Physician Assistant | 1168 W Martintown Rd, North Augusta, SC 29841-2046 | 2006-08-30 |
| 1962463638 | Kathy S Saumweber | Physician Assistant | 140 Allen Court, North Augusta, SC 29860 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
Please comment or provide details below to improve the information on STACY 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.