TANNER MEDICAL CLINIC LLC
NPI 1376881870
Clinic/Center - Rural Health in Tanner, AL
About Tanner Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANNER MEDICAL CLINIC LLC (NPI 1376881870) is a healthcare organization registered as a rural health in Tanner, Alabama and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Michelle Sloan Graham, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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 Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Tanner Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 01D2054757
Tanner Medical Clinic LLC · Tanner, ALFrequently 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 Medical Clinic LLC's NPI number?
The NPI number for Tanner Medical Clinic LLC is 1376881870. It was assigned to this organization in the NPPES registry on January 18, 2013.
Where is Tanner Medical Clinic LLC located?
Tanner Medical Clinic LLC is located at 20104 Swanner Blvd Suite 4, Tanner, AL 35671. The listed phone number is (256) 686-3334.
What is Tanner Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Tanner Medical Clinic LLC enrolled in Medicare?
Yes. Tanner Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tanner Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Tanner Medical Clinic LLC. 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 Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tanner Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2054757) is associated with this NPI, valid through February 26, 2027. 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 Medical Clinic LLC was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tanner Medical Clinic Llc · NPI 1376881870
Rural Health organization in Tanner, Alabama. Organization record, active in the CMS NPPES registry since January 18, 2013.
## Identity
- **NPI:** 1376881870 (Entity type: Organization)
- **Enumerated:** January 18, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Michelle Graham, VP OF OPERATIONS
## Practice location
- **Address:** 20104 SWANNER BLVD, SUITE 4, Tanner, AL 35671-3651
- **Phone:** (256) 686-3334 · **Fax:** (256) 686-3339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2023
- **Other identifiers:** Medicaid 159174 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376881870) · Data from the CMS NPPES public registry.