Organization
TANNER MEDICAL CENTER, INC
Active
Parent organization
TANNER MEDICAL CENTER
Other names
Tanner Medical Center Carrollton BH
Organization subpart
Yes
Provider details
NPI number
Legal business name
TANNER MEDICAL CENTER
Authorized official
CAROL S. CREWS (CFO)
(770) 812-9745
Entity
Organization
Contact information
Practice address
101 DOCTORS DR, CARROLLTON, GA 30117-4486
(770) 836-9697
(770) 836-9897
Mailing address
109 CEDAR ST STE C, CARROLLTON, GA 30117-2667
(770) 812-5770
(770) 836-9897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NOT REQUIRED
GA
251S00000X
Community/Behavioral Health Agency
Primary
022-426
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296667723A
—
GA
01
—
300027104A
MEDICAID PAYEE IDENTIFICATION NUMBER
GA
Enumeration date
08/05/2006
Last updated
10/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us