MR. COLBY TANNER
NPI 1821850983
Nurse Practitioner - Family in Dothan, AL

Active since January 24, 2024PECOS Enrolled
4370 W MAIN ST, DOTHAN, AL 36305(334) 793-5000 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Colby Tanner NPPES

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

MR. COLBY TANNER (NPI 1821850983) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-176000) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821850983
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. COLBY TANNER
Location Address4370 W MAIN STDothan, AL 36305-1056
Mailing Address167 Peacock StDothan, AL 36301-6341
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1821850983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-176000
4370 W MAIN ST, Dothan, AL 36305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Colby Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Pediatrics
126 CLINIC DR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 38 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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 20

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

Radiology (Diagnostic Radiology)
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Urology
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Practitioner (Family)
4370 W MAIN ST
DOTHAN, AL 36305
Student in an Organized Health Care Education/Training Program
4370 W MAIN ST
DOTHAN, AL 36305

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 Colby Tanner's NPI number?

The NPI number for Colby Tanner is 1821850983. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Colby Tanner located?

Colby Tanner practices at 4370 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-5000.

What is Colby Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Colby Tanner enrolled in Medicare?

Yes. Colby Tanner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colby Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colby Tanner reassigns Medicare benefits to Dothan Pediatric Clinic, P. A. (Dothan, AL). 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 Colby Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colby Tanner accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Colby 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 Colby Tanner was last updated on January 24, 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.