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MARY CRAWFORD TANNER PA-C
NPI 1265212104
Physician Assistant - Medical in Charlotte, NC

Active since September 28, 2023PECOS EnrolledAccepts Medicare Assignment
2630 E 7TH ST STE 200, CHARLOTTE, NC 28204(704) 364-6110(704) 364-4245 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Crawford Tanner Pa-c NPPES

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

MARY CRAWFORD TANNER PA-C (NPI 1265212104) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (001013531) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265212104
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY CRAWFORD TANNERCredential: PA-C
Location Address2630 E 7TH ST STE 200Charlotte, NC 28204-4319
Mailing Address2630 E 7th St Ste 200Charlotte, NC 28204-4319 · (704) 364-6110 · Fax (704) 364-4245
Phone(704) 364-6110
Fax(704) 364-4245
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 28, 2023
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1265212104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 001013531
2630 E 7TH ST STE 200, Charlotte, NC 28204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Crawford Tanner Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901249135
PECOS Enrollment IDI20240205003151
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 6

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

ROWAN MCGARRY BAKER PA-C
Physician Assistant
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 364-6110
BRYANNA UHLIR
Physician Assistant
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 364-6110
LAUREN MATTHEWS PA-C
Physician Assistant
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 654-6643
KINSLEIGH SHAH
Physician Assistant
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 364-6110
JENNA BYRNE PA-C
Physician Assistant
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 364-6110
JORDANN ELIZABETH DEACON PA-C
Dermatology
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 364-6110

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 1265212104. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Mary Tanner located?

Mary Tanner practices at 2630 E 7th St Ste 200, Charlotte, NC 28204. The listed phone number is (704) 364-6110.

What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Tanner enrolled in Medicare?

Yes. Mary Tanner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Tanner accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Mary Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Tanner was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.