TANNER PRIMARY CARE OF HEFLIN NPI 1154563666

Family Medicine in Heflin, AL

NPI 1154563666 Organization Family Medicine CLIA Number 11D2010736 CLIA Certificate of Waiver

About TANNER PRIMARY CARE OF HEFLIN

Tanner Primary Care Of Heflin is a primary care provider established in Heflin, Alabama specializing in family medicine. The NPI number of Tanner Primary Care Of Heflin is 1154563666 and was assigned on March 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Tanner Primary Care Of Heflin operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dale Dreiling M.d. (Senior V.p.)

A primary care provider (PCP) like Tanner Primary Care Of Heflin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Tanner Primary Care Of Heflin is 11D2010736 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Tanner Primary Care Of Heflin to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1154563666

Provider NameTANNER PRIMARY CARE OF HEFLIN
Provider Location Address150 TOMPKINS ST HEFLIN, AL 36264
Provider Mailing Address119 AMBULANCE DR SUITE 202 CARROLLTON, GA 30117
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-30-2009
Last Update Date08-30-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

TANNER PRIMARY CARE OF HEFLIN
150 TOMPKINS ST
HEFLIN, AL
ZIP 36264
Phone: (770) 812-6570
Fax: (770) 812-6575

Get Directions


Mailing Address

TANNER PRIMARY CARE OF HEFLIN
119 AMBULANCE DR
SUITE 202
CARROLLTON, GA
ZIP 30117
Phone: (770) 812-6570



Authorized Official

Authorized Official Name DALE DREILING M.D.
Authorized Official TitleSENIOR V.P.
Authorized Official Phone(770) 812-5304

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1154563666 is:

CLIA Number11D2010736
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841359791MRS. JUDITH THOMPSON MSW
Individual
Social Worker (Clinical)150 TOMPKINS ST
HEFLIN, AL 36264
(256) 463-2969
1366610172MRS. MELINDA MOSELEY
Individual
Counselor (Mental Health)150 TOMPKINS ST
HEFLIN, AL 36264
(256) 463-2969
1285951525MRS. REBECCA JANE MICHAELS LPC
Individual
Counselor (Mental Health)150 TOMPKINS ST
HEFLIN, AL 36264
(256) 463-2969
1720393416CALHOUN-CLEBURNE MENTAL HEALTH BOARD
Organization
Community/Behavioral Health150 TOMPKINS ST
HEFLIN, AL 36264
(256) 463-2969
1710292438MISS GAIL LEE NORSTROM LCSW
Individual
Counselor (Mental Health)150 TOMPKINS ST
HEFLIN, AL 36264
(256) 463-2969

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.