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WEST GEORGIA UROLOGY ASSOCIATES
NPI 1043909302
Non-Pharmacy Dispensing Site in Carrollton, GA

Active since May 03, 2023CLIA Certified · 4 labs
150 CLINIC AVE STE 202, CARROLLTON, GA 30117(770) 834-6988(770) 834-1090 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Georgia Urology Associates NPPES

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

WEST GEORGIA UROLOGY ASSOCIATES (NPI 1043909302) is a healthcare organization registered as a non-pharmacy dispensing site in Carrollton, Georgia and active in the NPI registry since May 2023. The organization holds 4 active CLIA laboratory certificates and lists Clint Hoffman, Senior Vp Tmg Operations, as its authorized official.

NPPES Registry Identity

NPI1043909302
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTANNER MEDICAL GROUP INC
Location Address150 CLINIC AVE STE 202Carrollton, GA 30117-4402
Mailing Address100 Greenway Blvd Fl 2Carrollton, GA 30117-4338 · (770) 838-8710
Phone(770) 834-6988
Fax(770) 834-1090
Organization SubpartNo
Authorized OfficialClint HoffmanSenior Vp Tmg Operations · (770) 838-8302
Enumeration DateMay 3, 2023
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1043909302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
150 CLINIC AVE STE 202, Carrollton, GA 30117
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Other Names 1

Doing Business AsWest Georgia Urology Associates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Mending Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0256275

West Georgia Urology · Carrollton, GA
Active · expires Sep 2, 2026
CLIA Number11D0256275
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorDr. Christopher L. Powell
Laboratory Phone(770) 834-6988
Laboratory LocationWest Georgia Urology150 Clinic Avenue Suite 202, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2071361

West Georgia Urology Associates, PC · Bremen, GA
Active · expires Jan 9, 2028
CLIA Number11D2071361
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorJohn C. Pearson
Laboratory Phone(770) 834-6988
Laboratory LocationWest Georgia Urology Associates, PC204 Allen Memorial Drive, Suite 302-B, Bremen, GA 30110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1066229

West Georgia Urology · Villa Rica, GA
Active · expires Feb 28, 2027
CLIA Number11D1066229
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorChristopher L. Powell
Laboratory Phone(770) 834-6988
Laboratory LocationWest Georgia Urology705 Dallas Highway, Suite 205, Villa Rica, GA 30180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2317746

Tanner Medical Group Bridge Clinic · Carrollton, GA
Active · expires Jan 29, 2027
CLIA Number11D2317746
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorJesse Mitchell
Laboratory Phone(770) 812-5900
Laboratory LocationTanner Medical Group Bridge Clinic1480 South Highway 27, Suite B, Carrollton, GA 30117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JESSICA WALBRIDGE NP
Nurse Practitioner (Family)
150 CLINIC AVE STE 202
CARROLLTON, GA 30117
Carroll County (770) 834-6988

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 Group Inc's NPI number?

The NPI number for Tanner Medical Group Inc is 1043909302. It was assigned to this organization in the NPPES registry on May 3, 2023. The provider is doing business as West Georgia Urology Associates.

Where is Tanner Medical Group Inc located?

Tanner Medical Group Inc is located at 150 Clinic Ave Ste 202, Carrollton, GA 30117. The listed phone number is (770) 834-6988.

What is Tanner Medical Group Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Tanner Medical Group Inc hold CLIA laboratory certificates?

Yes. 4 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 Group Inc accept?

Health plans from Baylor Scott and White Health Plan and Mending Health list Tanner Medical Group 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 Group Inc was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.