CASEY TANNER PNP
NPI 1154076123
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Casey Tanner's NPI number?

The NPI number for Casey Tanner is 1154076123. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Q: What is Casey Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Casey Tanner was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 17, 2022PECOS Enrolled

5461 MERIDIAN MARK RD STE 570, ATLANTA, GA 30342(404) 785-6895(404) 785-6896 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Casey Tanner Pnp NPPES

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

CASEY TANNER PNP (NPI 1154076123) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN220734) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154076123

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCASEY TANNERCredential: PNP

Location Address5461 MERIDIAN MARK RD STE 570Atlanta, GA 30342-2807

Mailing Address5461 Meridian Mark Rd Ste 570Atlanta, GA 30342-2807 · (404) 785-6895 · Fax (404) 785-6896

Phone(404) 785-6895

Fax(404) 785-6896

Sole ProprietorYes

Enumeration DateFebruary 17, 2022

NPPES CertifiedFebruary 17, 2022

✔ NPI 1154076123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN220734

5461 MERIDIAN MARK RD STE 570, Atlanta, GA 30342

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Tanner Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

KENDRA SUMMERS

Physician Assistant