HUBERT PIERCE TANKERSLEY III
NPI 1962018747
Counselor - Professional in Kennesaw, GA
About Hubert Pierce Tankersley Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUBERT PIERCE TANKERSLEY III (NPI 1962018747) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (PENDING) and active in the NPI registry since September 2020. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Hubert Pierce Tankersley Iii 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hubert Tankersley's NPI number?
The NPI number for Hubert Tankersley is 1962018747. It was assigned to this individual provider in the NPPES registry on September 17, 2020.
Where is Hubert Tankersley located?
Hubert Tankersley practices at 1815 Old 41 Hwy NW Ste 110, Kennesaw, GA 30152. The listed phone number is (678) 468-9103.
What is Hubert Tankersley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Hubert Tankersley enrolled in Medicare?
No. Hubert Tankersley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Hubert Tankersley was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hubert Pierce Tankersley III · NPI 1962018747
Professional provider in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since September 17, 2020.
## Identity
- **NPI:** 1962018747 (Entity type: Individual)
- **Enumerated:** September 17, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PENDING (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1815 OLD 41 HWY NW STE 110, Kennesaw, GA 30152-4422
- **Phone:** (678) 468-9103
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962018747) · Data from the CMS NPPES public registry.