DR. ASHLEY CANNON TANKERSLEY DMD
NPI 1851730634
Dentist - Oral and Maxillofacial Surgery in Greenville, SC

Active since June 14, 2013PECOS Enrolled
280 ROCKY SLOPE RD, GREENVILLE, SC 29607(864) 751-9972 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ashley Cannon Tankersley Dmd NPPES

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

DR. ASHLEY CANNON TANKERSLEY DMD (NPI 1851730634) is an individual oral and maxillofacial surgery provider in Greenville, South Carolina, licensed in South Carolina (9690DS) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston-salem.

NPPES Registry Identity

NPI1851730634
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ASHLEY CANNON TANKERSLEYCredential: DMD
Location Address280 ROCKY SLOPE RDGreenville, SC 29607-3908
Mailing Address4103 E North StGreenville, SC 29615-2350 · (864) 268-6417
Sole ProprietorYes
Enumeration DateJune 14, 2013
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1851730634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in SC · 9690DS
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

280 ROCKY SLOPE RD, Greenville, SC 29607

Secondary Practice Location 1

Location 1Medical Center Blvd, Wake Forest Baptist HealthWinston-Salem, NC 27157 · Phone (864) 640-1962

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Ashley Cannon Tankersley Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 20, 2020 through July 20, 2026.

Opt-Out Effective DateJuly 20, 2020
Opt-Out In Effect ThroughJuly 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 3

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

Oral & Maxillofacial Surgery
280 ROCKY SLOPE RD
GREENVILLE, SC 29607
Dentist (Orofacial Pain)
280 ROCKY SLOPE RD
GREENVILLE, SC 29607
Dentist (Prosthodontics)
280 ROCKY SLOPE RD
GREENVILLE, SC 29607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851730634, enumerated as an "individual" on June 14, 2013.

The provider is located at 280 ROCKY SLOPE RD GREENVILLE, SC 29607 and the phone number is (864) 751-9972.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.