1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Physician Assistant
  6. NPI Profile

MISS PERRY TANNER PA-C
NPI 1760109524
Physician Assistant in Roswell, GA

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
415 E CROSSVILLE RD, ROSWELL, GA 30075(770) 642-4664 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Oct 24, 2022 (2 updates tracked since 2022).

About Miss Perry Tanner Pa-c NPPES

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

MISS PERRY TANNER PA-C (NPI 1760109524) is an individual physician assistant in Roswell, Georgia and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760109524
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS PERRY TANNERCredential: PA-C
Location Address415 E CROSSVILLE RDRoswell, GA 30075-7626
Mailing Address415 E Crossville RdRoswell, GA 30075-7626 · (770) 642-4664
Phone(770) 642-4664
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2022
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1760109524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
415 E CROSSVILLE RD, Roswell, GA 30075
Open in Google Maps ↗

Accepted Insurance

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

Miss Perry 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 ID7517405533
PECOS Enrollment IDI20240821001422
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. WEI YEN CHANG D.D.S.
Dentist (General Practice)
415 E CROSSVILLE RD, STE. A
ROSWELL, GA 30075
Fulton County (678) 461-3875
DR. ALEXANDER GEBHARDT DC
Chiropractor (Rehabilitation)
415 E CROSSVILLE RD, SUITE B
ROSWELL, GA 30075
Fulton County (770) 645-9595
PINNACLE CARE GROUP
Chiropractor (Rehabilitation)
415 E CROSSVILLE RD, SUITE B
ROSWELL, GA 30075
Fulton County (770) 645-9595
MRS. JENNIFER ERIN MILLSAP PHYSICIANS ASSISTANT
Dermatology
415 E CROSSVILLE RD
ROSWELL, GA 30075
Fulton County (770) 642-4644
PINNACLE CARE GROUP LLC
Specialist
415 E CROSSVILLE RD, SUITE B
ROSWELL, GA 30075
Fulton County (770) 645-9595
DR. SUZANNE H GUDAKUNST DC
Chiropractor (Rehabilitation)
415 E CROSSVILLE RD, SUITE B
ROSWELL, GA 30075
Fulton County (770) 645-9595
CHANG HEALTHCARE ASSOCIATION, INC.
Dentist (General Practice)
415 E CROSSVILLE RD, STE. A
ROSWELL, GA 30075
Fulton County (678) 461-4875

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 Perry Tanner's NPI number?

The NPI number for Perry Tanner is 1760109524. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Perry Tanner located?

Perry Tanner practices at 415 E Crossville Rd, Roswell, GA 30075. The listed phone number is (770) 642-4664.

What is Perry Tanner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Perry Tanner enrolled in Medicare?

Yes. Perry 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 Perry Tanner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Perry 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 Perry Tanner was last updated on June 28, 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.