STEWART H TANKERSLEY, MD, LLC
NPI 1093068900
Clinic/Center in Montgomery, AL

Active since October 17, 2012
1758 PARK PL, SUITE 200, MONTGOMERY, AL 36106(334) 538-9695 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stewart H Tankersley, Md, Llc NPPES

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

STEWART H TANKERSLEY, MD, LLC (NPI 1093068900) is a healthcare organization registered as a clinic/center in Montgomery, Alabama and active in the NPI registry since October 2012. The organization lists Stewart Tankersley, Md, as its authorized official.

NPPES Registry Identity

NPI1093068900
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTEWART H TANKERSLEY, MD, LLC
Location Address1758 PARK PL, SUITE 200Montgomery, AL 36106-1127
Mailing Address2432 Hawthorn DrMontgomery, AL 36111-1617
Organization SubpartNo
Authorized OfficialStewart TankersleyMd · (334) 538-9695
Enumeration DateOctober 17, 2012
Last NPPES UpdateDecember 5, 2012
✔ NPI 1093068900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1758 PARK PL, Montgomery, AL 36106

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stewart H Tankersley, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stewart H Tankersley, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1952375917
4154 CARMICHAEL CT
Montgomery, AL 36106
(334) 593-0193
✔ PECOS2.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stewart H Tankersley, MD, LLC's NPI number?

The NPI number for Stewart H Tankersley, MD, LLC is 1093068900. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Stewart H Tankersley, MD, LLC located?

Stewart H Tankersley, MD, LLC is located at 1758 Park Pl Suite 200, Montgomery, AL 36106. The listed phone number is (334) 538-9695.

What is Stewart H Tankersley, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Stewart H Tankersley, MD, LLC enrolled in Medicare?

Yes. Stewart H Tankersley, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stewart H Tankersley, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stewart H Tankersley, MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stewart H Tankersley, MD, LLC was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.