| Tanner Community Care | |
|
11185 Hwy 31 Tanner AL 35671 | |
| (256) 216-9658 | |
| (256) 216-9659 |
| Full Name | Tanner Community Care |
|---|---|
| Speciality | Family Medicine |
| Location | 11185 Hwy 31, Tanner, Alabama |
| Authorized Official Name and Position | Sebrina Holt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2562169648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Community Care 11185 Hwy 31 Tanner AL 35671 Ph: () - | Tanner Community Care 11185 Hwy 31 Tanner AL 35671 Ph: (256) 216-9658 |
| NPI Number | 1134791668 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 0749684728 |
|---|---|
| Medicare Enrollment ID | O20210812003362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134791668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tammy Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
| Provider Name | Tiffany Mae Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639847650 PECOS PAC ID: 4385031483 Enrollment ID: I20220420000006 |
| Provider Name | Traci A Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124668132 PECOS PAC ID: 8628456100 Enrollment ID: I20220613001661 |
Tanner Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20104 Swanner Blvd, Suite 4, Tanner, AL 35671 Phone: 256-686-3334 Fax: 256-686-3339 |