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TANNER MEDICAL CENTER VILLA RICA BH
NPI 1033441290
Community/Behavioral Health in Villa Rica, GA

Active since February 12, 2010CLIA Certified · 3 labs
101 QUARTZ DR STE 103A, VILLA RICA, GA 30180(770) 456-3266 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Medical Center Villa Rica Bh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER MEDICAL CENTER VILLA RICA BH (NPI 1033441290) is a healthcare organization registered as a community/behavioral health in Villa Rica, Georgia and active in the NPI registry since February 2010. The organization holds 3 active CLIA laboratory certificates and lists Carol Crews, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033441290
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTANNER MEDICAL CENTER, INC.
Location Address101 QUARTZ DR STE 103AVilla Rica, GA 30180-3256
Mailing Address705 Dixie StCarrollton, GA 30117-3818 · (770) 836-9666
Phone(770) 456-3266
Organization SubpartYesParent: Tanner Medical Center
Authorized OfficialCarol CrewsCfo · (770) 836-9745
Enumeration DateFebruary 12, 2010
Last NPPES UpdateMay 10, 2016
✔ NPI 1033441290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed · NOT REQUIRED
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X · License NOT REQUIRED
101 QUARTZ DR STE 103A, Villa Rica, GA 30180
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Other Names 1

Other NameTanner Medical Center Villa Rica Bh

Other Identifiers 3

Other300027104AGA · Medicaid Payee Identification Number
Medicaid296667723BGA
Other1871502260GA · Organizational Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Mending Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0965392

Tanner Medical Center Hospice Care Inc · Carrollton, GA
Active · expires Sep 20, 2027
CLIA Number11D0965392
Laboratory TypeHospice
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorDeborah K. Allen
Laboratory Phone(770) 214-2355
Laboratory LocationTanner Medical Center Hospice Care Inc705 Dixie Street, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D0020665

Tanner Medical Center Laboratory · Carrollton, GA
Active · expires Feb 27, 2027
CLIA Number11D0020665
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Aaron Harper
Laboratory Phone(404) 836-9673
Laboratory LocationTanner Medical Center Laboratory705 Dixie St, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D0691309

Tanner Medical Center Villa Rica · Villa Rica, GA
Active · expires Jan 2, 2027
CLIA Number11D0691309
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Oscar E. Battles
Laboratory Phone(770) 456-3171
Laboratory LocationTanner Medical Center Villa Rica601 Dallas Road, Villa Rica, GA 30180
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KENYA ADRIAN PATTERSON L.P.C.
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
BRITTANY LILLY MA, APC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3598
CELINA NOBLE
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
ERIN DURHAM
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
NICKOLE BUSH
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (678) 471-6925
SYREETA RENEE NALLS LPC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3541
LAUREN A BROWN LMSW
Social Worker
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (678) 552-5336
MRS. BENITA N BROWN NP
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Medical Center, Inc.'s NPI number?

The NPI number for Tanner Medical Center, Inc. is 1033441290. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is also known as Tanner Medical Center Villa Rica Bh.

Where is Tanner Medical Center, Inc. located?

Tanner Medical Center, Inc. is located at 101 Quartz Dr Ste 103A, Villa Rica, GA 30180. The listed phone number is (770) 456-3266.

What is Tanner Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Tanner Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tanner Medical Center, Inc. accept?

Health plans from Alliant Health Plans, Inc. and Mending Health list Tanner Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Medical Center, Inc. was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.