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TANNER MEDICAL CLINIC LLC
NPI 1376881870
Clinic/Center - Rural Health in Tanner, AL

Active since January 18, 2013CLIA 01D2054757 · Waiver
20104 SWANNER BLVD, SUITE 4, TANNER, AL 35671(256) 686-3334(256) 686-3339 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1376881870
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTANNER MEDICAL CLINIC LLC
Location Address20104 SWANNER BLVD, SUITE 4Tanner, AL 35671-3651
Mailing Address20104 Swanner BlvdTanner, AL 35671-3651 · (256) 686-3334 · Fax (256) 686-3339
Phone(256) 686-3334
Fax(256) 686-3339
Organization SubpartNo
Authorized OfficialMichelle Sloan GrahamVp Of Operations · (256) 432-2822
Enumeration DateJanuary 18, 2013
Last NPPES UpdateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1376881870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
20104 SWANNER BLVD, Tanner, AL 35671
Open in Google Maps ↗

Other Identifiers 1

Medicaid159174AL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, AL
Active · expires Feb 26, 2027
CLIA Number01D2054757
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMichelle Graham
Laboratory Phone(256) 686-3334
Laboratory LocationTanner Medical Clinic LLC20104 Swanner Blvd Suite 4, Tanner, AL 35671
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 3

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

JOHNNA LANGFORD CRNP
Nurse Practitioner (Family)
20104 SWANNER BLVD
TANNER, AL 35671
Limestone County (256) 686-3334
STANLEY FARRELL SMALLWOOD CRNP-APRN-BC
Nurse Practitioner (Family)
20104 SWANNER BLVD, SUITE 4
TANNER, AL 35671
Limestone County (256) 686-3334
MRS. MEREDITH CLARK BELEW CRNP
Nurse Practitioner (Family)
20104 SWANNER BLVD, SUITE 4
TANNER, AL 35671
Limestone County (256) 686-3334

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 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.

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.

What insurance does Tanner Medical Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Tanner Medical Clinic LLC 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 Tanner Medical Clinic LLC was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.