Stacy Tanner (NPI# 1760908917, PAC ID# 6204194715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1760908917 |
| PAC ID by PECOS | 6204194715 |
| Professional Enrollment ID | I20171211000735 |
| Full Name | Stacy Tanner |
| Organization Legal Name | UMG PROMPT CARE SOUTH CAROLINA LLC |
| Address |
325 Georgia Ave Suite 100 North Augusta SC 29841-3848 |
| Phone Number | 8032023351 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830401660 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 447 N Belair Rd, Suite 101, Evans, GA 30809-3091 | 7068542222 | UMG PROMPT CARE LLC |
| 4720 Washington Rd, Evans, GA 30809-5875 | 7066500111 | UMG PROMPT CARE LLC |
| 925 Branch Ct, Suite 101, Grovetown, GA 30813-3325 | 7063961451 | UMG PROMPT CARE LLC |
| 107 Walnut Ln, Suite 102, North Augusta, SC 29860-8629 | 8032027110 | UMG PROMPT CARE SOUTH CAROLINA LLC |
| 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 | 8032023351 | UMG PROMPT CARE SOUTH CAROLINA LLC |
| Organization Legal Name | UMG PROMPT CARE SOUTH CAROLINA LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Lee | Physician Assistant | Umg Prompt Care South Carolina LLC | 3515 Richland Ave, Aiken, SC 29801-6311 |
| Julie A Oglesby | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Kimberly Jennings | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 1021 Silver Bluff Rd, Aiken, SC 29803-5879 |
| Bozeman K Sherwood | Family Medicine | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Ashley Marie Yates | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Paul M Weiner | General Practice | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Byron Tyrell Mathis | Physician Assistant | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Millicent A Porter-jenkins | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Erich Heinz | General Practice | Umg Prompt Care South Carolina LLC | 1021 Silver Bluff Rd, Aiken, SC 29803-5879 |
| Brandi Nicole Pleming | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 3515 Richland Ave, Aiken, SC 29801-6311 |
| Street Address |
325 GEORGIA AVE SUITE 100 |
| City | NORTH AUGUSTA |
| State | SC |
| Zip | 29841-3848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Oglesby | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Bozeman K Sherwood | Family Medicine | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Ashley Marie Yates | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Marlon L Sharpe | Family Medicine | Umg Primary Care South Carolina LLC | 325 Georgia Ave, Suite 200, North Augusta, SC 29841-3848 |
| Faheem Nusrat | Internal Medicine | Umg Primary Care South Carolina LLC | 325 Georgia Ave, Suite 200, North Augusta, SC 29841-3848 |
| Stephanie Johnson Morris | Nurse Practitioner | Umg Primary Care South Carolina LLC | 325 Georgia Ave, Suite 200, North Augusta, SC 29841-3848 |
| Paul M Weiner | General Practice | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Byron Tyrell Mathis | Physician Assistant | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Millicent A Porter-jenkins | Nurse Practitioner | Umg Prompt Care South Carolina LLC | 325 Georgia Ave, Suite 100, North Augusta, SC 29841-3848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan James Altenburg | Nephrology | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Doris J Sturcken | Nurse Practitioner | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Syed N Babar | Nephrology | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Christine G Anderson | Nurse Practitioner | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Allen L Sloan | Interventional Pain Management | 1168 W Martintown Rd, North Augusta, SC 29841-2046 | |
| Glenn Cornelis Degraaf | Chiropractic | 244 Edgefield Rd, North Augusta, SC 29841-2407 | |
| Bradford P Huffman | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery | 101 Nut Grove Dr, North Augusta, SC 29841-2850 |
| Christopher George Mullane | Chiropractic | 1810 Knox Ave B, North Augusta, SC 29841-2903 | |
| Denise S Kennedy | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Katherine Embry | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Find all physicians in zip 29841 | |||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTH AUGUSTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacy Tanner.
| 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.