MCKAYLA NOBLE TANNER AA
NPI 1821563354
Anesthesiologist Assistant in Thomasville, GA

Active since October 11, 2018Accepts Medicare Assignment
915 GORDON AVE, THOMASVILLE, GA 31792(334) 279-1450(334) 279-1660 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2022, Oct 11, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Years of Experience 9
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About MCKAYLA TANNER

This page provides the complete NPI Profile along with additional information for Mckayla Tanner, a provider established in Thomasville, Georgia with a medical specialization in Anesthesiologist Assistant and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1821563354 assigned on October 2018. The practitioner's primary taxonomy code is 367H00000X with license number 9068 (GA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1821563354 Verify this NPI
Provider Name
MCKAYLA NOBLE TANNER AA
Gender
Female
Entity Type
Individual
Location Address
915 GORDON AVE THOMASVILLE, GA 31792
Location Phone
(334) 279-1450
Location Fax
(334) 279-1660
Mailing Address
PO BOX 2125 COLUMBUS, GA 31902
Mailing Phone
(334) 279-1450
Mailing Fax
(334) 279-1660
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
10-11-2018
Last Update Date
04-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9068
License State
GA
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367H00000XPhysician Assistants & Advanced Practice Nursing Providers

Anesthesiologist Assistant

 

Medicare Participation & PECOS Enrollment Status

Mckayla Tanner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 9739424011

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20181213002756

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mckayla Tanner is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ARCHBOLD MEMORIAL915 GORDON AVENUE & MIMOSA DRIVE
THOMASVILLE, GA 31792
(229) 228-2880Acute Care Hospitals

Reviews for MCKAYLA NOBLE TANNER AA

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Family Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Preventive Medicine (Occupational Medicine)
915 GORDON AVE
THOMASVILLE, GA 31792
Emergency Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Emergency Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Emergency Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Emergency Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Nuclear Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Radiology (Diagnostic Radiology)
915 GORDON AVE
THOMASVILLE, GA 31792
Emergency Medicine
915 GORDON AVE
THOMASVILLE, GA 31792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821563354, enumerated as an "individual" on October 11, 2018.

The provider is located at 915 GORDON AVE THOMASVILLE, GA 31792 and the phone number is (334) 279-1450.

Anesthesiologist Assistant with taxonomy code 367H00000X.

Mckayla Tanner is affiliated with: ARCHBOLD MEMORIAL.