1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Physical Therapist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY COURTNEY TANNER PT, DPT
NPI 1407680010
Physical Therapist - Pediatrics in Valdosta, GA

Active since August 27, 2024
809 N PATTERSON ST, VALDOSTA, GA 31601(229) 469-6932(229) 469-6933 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary Courtney Tanner Pt, Dpt NPPES

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

MARY COURTNEY TANNER PT, DPT (NPI 1407680010) is an individual pediatrics provider in Valdosta, Georgia, licensed in Georgia (PT017265) and active in the NPI registry since August 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1407680010
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMARY COURTNEY TANNERCredential: PT, DPT
Location Address809 N PATTERSON STValdosta, GA 31601-4528
Mailing Address809 N Patterson StValdosta, GA 31601-4528 · (229) 469-6932 · Fax (229) 469-6933
Phone(229) 469-6932
Fax(229) 469-6933
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1407680010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · PT017265
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
809 N PATTERSON ST, Valdosta, GA 31601
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Courtney Tanner Pt, Dpt 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 ID3173058286
PECOS Enrollment IDI20241126004384

Medicare Billing Reassignment

Medicare enrollment records show Mary Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amerimed Therapy
3.4 mi
Speech-Language Pathologist
2209 S SHERWOOD DR
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1750770970 (229) 415-3301

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

Other Providers at the Same Location NPPES 20

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

ADRIENNE D MONTGOMERY CCC-SLP
Speech-Language Pathologist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
MORGAN BROOKE BORUFF OTR/L
Occupational Therapist (Pediatrics)
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
CATHERINE DENNIS M.E.D.
Speech-Language Pathologist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
ANGELA ROTHENHOFER CCC-SLP
Speech-Language Pathologist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
HALEY THRIFT MOTR/L
Occupational Therapist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
MIKLYNN HANNA GEBHART OTR/L
Occupational Therapist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
MEAGAN GRAHAM CARTER M.ED., CCC-SLP
Speech-Language Pathologist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932
MRS. LINDSEY SHIVER HOBDY MED CCC-SLP
Speech-Language Pathologist
809 N PATTERSON ST
VALDOSTA, GA 31601
Lowndes County (229) 469-6932

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 1407680010. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Mary Tanner located?

Mary Tanner practices at 809 N Patterson St, Valdosta, GA 31601. The listed phone number is (229) 469-6932.

What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

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.

Which organization bills Medicare for Mary Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tanner reassigns Medicare benefits to Amerimed Therapy (Valdosta, GA). The 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 Mary Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Tanner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.