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: November 08, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Primary Care Of Roanoke Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tanner Primary Care Of Roanoke Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1730100553
965 HIGHWAY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265091771
965 HIGHWAY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437588019
965 HIGHWAY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1144322504
965 US HWY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194748731
1950 MAIN ST.
Roanoke, AL 36274
(334) 863-2311
✔ PECOS✔ Accepts Medicare3.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Tanner Primary Care Of Roanoke Inc enrolled in Medicare?

Yes. Tanner Primary Care Of Roanoke Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanner Primary Care Of Roanoke Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Tanner Primary Care Of Roanoke Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.