MARY TANNER M.D. – NPI #1174751549
Pediatrics

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

MARY TANNER is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1174751549 to MARY TANNER on June 24, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0208X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Infectious Diseases

The NPI profile was previously updated about 8 years ago on May 27, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY TANNER below.

NPI Profile for
MARY TANNER

NPI Number
1174751549
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY TANNER
Credentials
M.D.
Primary location
1600 CLIFTON RD NE
ATLANTA, GA 30329
Phone: (404) 639-3311 Fax:
Mailing address
259 LAKE RUBY DR
SUWANEE, GA 30024-2399
Phone: (816) 509-8082 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0208X
- Pediatrics / Pediatric Infectious Diseases (Primary)
MO 2011009937

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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