NPI age
16 years
Enumerated 2010-02-12
● Active Type 2 · Organization
Subpart
Tanner Medical Center, Inc.
Tanner Medical Center, Inc. is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crews
Cfo
Last NPPES update
2016-05-10
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
16 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
101 Quartz Dr Ste 103a
Villa Rica, GA 301803256
Mailing address
705 Dixie St
Carrollton, GA 301173818
Authorized official
Carol Crews
Cfo
📞 7708369745
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Benita Brown, NP Nurse Practitioner NPI 1649931361
- Lauren Brown, LMSW Social Worker NPI 1629657564
- Nickole Bush Counselor NPI 1366088379
- William Carroll Counselor NPI 1902502297
- Erin Durham Counselor NPI 1346861515
- Tadia Foster, LMSW Social Worker NPI 1720769672
- Kesha Greene, LPC Counselor NPI 1972015394
- Brittany Lilly, MA, APC Counselor NPI 1124664941
- Ashley Magistro, LPC Counselor NPI 1811408628
- Syreeta Nalls, LPC Counselor NPI 1457911067
- Celina Noble Counselor NPI 1154090918
- Kenya Patterson, L.P.C. Counselor NPI 1043450703
- MacY Preston Social Worker NPI 1891482790
- Tatum Tozzo Counselor NPI 1811841836
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
-
CounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1871502260 | ORGANIZATIONAL NPI |
| 05 (GA) | 296667723B | |
| 01 (GA) | 300027104A | MEDICAID PAYEE IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tanner Medical Center Villa Rica BH
Practice context
Multi-provider organization. 14 individual providers on file at this primary address.
Subpart of Tanner Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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