Jennifer H Tanner (NPI# 1710087101, PAC ID# 2264619931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710087101 |
| PAC ID by PECOS | 2264619931 |
| Professional Enrollment ID | I20110606000476 |
| Full Name | Jennifer H Tanner |
| Organization Legal Name | HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE |
| Address |
1067 Peachtree St Louisville GA 30434-1558 |
| Phone Number | 4786257000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214823046 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110100 | JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1067 Peachtree St, Louisville, GA 30434-1558 | 4786257000 | HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE |
| Organization Legal Name | HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel G Franklin | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Erin G Nobles | Nurse Practitioner | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Pouyan Arman | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| James Polhill | Family Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Andrea Byrd Doak | Physician Assistant | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Nancy Cox | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| James W Pilcher Jr. | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Wright Easterlin | Physician Assistant | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Street Address |
1067 PEACHTREE ST |
| City | LOUISVILLE |
| State | GA |
| Zip | 30434-1558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel G Franklin | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Erin G Nobles | Nurse Practitioner | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Pouyan Arman | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| James Polhill | Family Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Andrea Byrd Doak | Physician Assistant | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Nancy Cox | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| James W Pilcher Jr. | Internal Medicine | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| Wright Easterlin | Physician Assistant | Hospital Authority of Jefferson County and The City of Louisville | 1067 Peachtree St, Louisville, GA 30434-1558 |
| City | LOUISVILLE |
| Zip Code | 30434 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOUISVILLE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.