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

Q: What is Mckayla Tanner's NPI number?

The NPI number for Mckayla Tanner is 1821563354. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Q: What is Mckayla Tanner's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckayla Tanner was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: August 16, 2026.

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

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About Mckayla Noble Tanner Aa NPPES

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

MCKAYLA NOBLE TANNER AA (NPI 1821563354) is an individual anesthesiologist assistant in Thomasville, Georgia, licensed in Georgia (9068) and active in the NPI registry since October 2018. She is affiliated with Archbold Memorial and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821563354

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMCKAYLA NOBLE TANNERCredential: AA

Location Address915 GORDON AVEThomasville, GA 31792-6614

Mailing AddressPo Box 2125Columbus, GA 31902-2125 · (334) 279-1450 · Fax (334) 279-1660

Phone(334) 279-1450

Fax(334) 279-1660

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 11, 2018

Last NPPES UpdateApril 25, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1821563354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 9068

Definition

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.

915 GORDON AVE, Thomasville, GA 31792

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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

Mckayla Noble Tanner Aa 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 ID9739424011

PECOS Enrollment IDI20181213002756

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110038

Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County

Emergency services Birthing friendly

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.

MADISON GRACE MAXWELL NP

Nurse Practitioner (Family)