TANNER PRIMARY CARE OF ROANOKE INC
NPI 1255899092
Clinic/Center - Rural Health in Roanoke, AL

Active since March 12, 2019CLIA 01D0918083 · Waiver
965 HIGHWAY 431, ROANOKE, AL 36274(334) 863-2141(334) 863-8733 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2021, Apr 1, 2021, Mar 12, 2019 (3 updates tracked since 2019).

About Tanner Primary Care Of Roanoke Inc NPPES

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

TANNER PRIMARY CARE OF ROANOKE INC (NPI 1255899092) is a healthcare organization registered as a rural health in Roanoke, Alabama and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Clint Hoffman, Sr Vp, as its authorized official.

NPPES Registry Identity

NPI1255899092
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTANNER PRIMARY CARE OF ROANOKE INC
Location Address965 HIGHWAY 431Roanoke, AL 36274-7329
Mailing Address100 Greenway Blvd Fl 2Carrollton, GA 30117-4338 · (770) 838-8710 · Fax (770) 812-5735
Fax(334) 863-8733
Organization SubpartNo
Authorized OfficialClint HoffmanSr Vp · (770) 838-8302
Enumeration DateMarch 12, 2019
Last NPPES UpdateFebruary 29, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
NPI 1255899092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
965 HIGHWAY 431, Roanoke, AL 36274

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0918083

Tanner Primary Care Of Roanoke · Roanoke, AL
Active · expires Jan 23, 2028
CLIA Number01D0918083
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorDr. Helen J. Scharko
Laboratory Phone(334) 863-2141
Laboratory LocationTanner Primary Care Of Roanoke965 Highway 431, Roanoke, AL 36274
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Registered Nurse (Administrator)
965 HIGHWAY 431
ROANOKE, AL 36274
Nurse Practitioner (Family)
965 HIGHWAY 431
ROANOKE, AL 36274
Family Medicine
965 HIGHWAY 431
ROANOKE, AL 36274
Nurse Practitioner
965 HIGHWAY 431
ROANOKE, AL 36274

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 Primary Care Of Roanoke Inc's NPI number?

The NPI number for Tanner Primary Care Of Roanoke Inc is 1255899092. It was assigned to this organization in the NPPES registry on March 12, 2019.

Where is Tanner Primary Care Of Roanoke Inc located?

Tanner Primary Care Of Roanoke Inc is located at 965 Highway 431, Roanoke, AL 36274. The listed phone number is (334) 863-2141.

What is Tanner Primary Care Of Roanoke Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Tanner Primary Care Of Roanoke Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0918083) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tanner Primary Care Of Roanoke Inc was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.