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DR. MARY TANNER M.D.
NPI 1174751549
Pediatrics - Pediatric Infectious Diseases in Atlanta, GA

Active since June 24, 2009PECOS Enrolled
1600 CLIFTON RD NE, ATLANTA, GA 30329(404) 639-3311 Get Directions Write a Review

NPPES record last updated: May 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Tanner M.d. NPPES

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

DR. MARY TANNER M.D. (NPI 1174751549) is an individual pediatric infectious diseases provider in Atlanta, Georgia, licensed in Missouri (2011009937) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174751549
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. MARY TANNERCredential: M.D.
Location Address1600 CLIFTON RD NEAtlanta, GA 30329
Mailing Address259 Lake Ruby DrSuwanee, GA 30024-2399 · (816) 509-8082
Phone(404) 639-3311
Sole ProprietorNo
Enumeration DateJune 24, 2009
Last NPPES UpdateMay 27, 2018
✔ NPI 1174751549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in MO · 2011009937
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
1600 CLIFTON RD NE, Atlanta, GA 30329
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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)

Dr. Mary Tanner M.d. 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.

Other Providers at the Same Location NPPES 20

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

DR. MARC A. SAFRAN MD
Psychiatry & Neurology (Psychiatry)
1600 CLIFTON RD NE, TO: CAPT MARC SAFRAN, US PUBLIC HEALTH SERVICE, CDC
ATLANTA, GA 30329
Dekalb County (404) 639-3311
DR. ANN M BUFF MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
1600 CLIFTON RD NE, MAILSTOP E-10
ATLANTA, GA 30329
Dekalb County (404) 639-5313
DR. MARY MORRIS DOTT MD
Pediatrics
1600 CLIFTON RD NE, MS E 92
ATLANTA, GA 30329
Dekalb County (404) 498-6003
MICHELLE RENEE ADLER MD, MPH
Family Medicine
1600 CLIFTON RD NE, MS-E04
ATLANTA, GA 30329
Dekalb County (404) 639-8040
EDUARDO AZZIZ-BAUMGARTNER MD
Family Medicine
1600 CLIFTON RD NE, MS A32
ATLANTA, GA 30329
Dekalb County (404) 639-1744
DR. MAHESH SWAMINATHAN M.D.
Internal Medicine (Infectious Disease)
1600 CLIFTON RD NE, MS E-30
ATLANTA, GA 30329
Dekalb County (267) 421-4824
DR. JOSE HAGAN M.D.
Internal Medicine (Infectious Disease)
1600 CLIFTON RD NE
ATLANTA, GA 30329
Dekalb County (800) 232-4636
MICHAEL FRANCIS MELGAR M.D.
Internal Medicine
1600 CLIFTON RD NE
ATLANTA, GA 30329
Dekalb County (410) 550-3350

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 Mary Tanner's NPI number?

The NPI number for Mary Tanner is 1174751549. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Mary Tanner located?

Mary Tanner practices at 1600 Clifton Rd NE, Atlanta, GA 30329. The listed phone number is (404) 639-3311.

What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Mary Tanner enrolled in Medicare?

Yes. Mary Tanner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Tanner was last updated on May 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.