P Praxis·MD
● Active Type 1 · Individual

DR. Mary Tanner, M.D.

Pediatrics·Atlanta, GA· NPI 1174751549 · Enumerated 2009 · 16 years on NPI
Tanner is 1 of 32 pediatrics providers in Atlanta and 1 of 42 in Georgia.
NPI age
16 years
Enumerated 2009-06-24
Primary specialty
Pediatrics
Licensed in
MO
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-05-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 42 active pediatrics providers in Georgia.

NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
1600 Clifton Rd Ne
Atlanta, GA 30329
📞 4046393311
Mailing address
259 Lake Ruby Dr
Suwanee, GA 300242399
📞 8165098082

Specialties

  • Pediatrics Primary
    A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses,...
    MO license #2011009937 taxonomy 2080P0208X

Practice context

Part of a multi-provider practice. 105 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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