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TANNER MEDICAL CENTER, INC.
NPI 1104850965
Durable Medical Equipment & Medical Supplies in Carrollton, GA

Active since July 10, 2006
706 DIXIE ST STE 110, CARROLLTON, GA 30117(770) 812-8338 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Medical Center, Inc. NPPES

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

TANNER MEDICAL CENTER, INC. (NPI 1104850965), doing business as Tanner Boutique, is a healthcare organization registered as a durable medical equipment & medical supplies in Carrollton, Georgia and active in the NPI registry since July 2006. The organization lists Carol S. Crews, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104850965
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTANNER MEDICAL CENTER, INC.
Location Address706 DIXIE ST STE 110Carrollton, GA 30117-3858
Mailing Address705 Dixie StCarrollton, GA 30117-3818 · (770) 836-9697 · Fax (770) 836-9897
Phone(770) 812-8338
Organization SubpartYes
Authorized OfficialCarol S. CrewsCfo · (770) 812-9745
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1104850965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in GA · 004396
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 004396 (GA)
706 DIXIE ST STE 110, Carrollton, GA 30117
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Other Names 1

Doing Business AsTanner Boutique

Other Identifiers 2

Medicaid000001867CGA
Medicaid000001867BGA

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 1104850965. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Tanner Boutique.

Where is Tanner Medical Center, Inc. located?

Tanner Medical Center, Inc. is located at 706 Dixie St Ste 110, Carrollton, GA 30117. The listed phone number is (770) 812-8338.

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

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Tanner Medical Center, Inc. was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.