NPI age
17 years
Enumerated 2008-10-14
● Active Type 2 · Organization
Mike Y. Tan, M.d.p.c.
Mike Y. Tan, M.d.p.c. is 1 of 495 case management organizations in Georgia.
Primary specialty
Case Management
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tan
President/ceo
Last NPPES update
2008-10-14
Source: monthly bulk 2026-05
How this organization compares
Across 495 active case management providers in Georgia.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
6911 Tara Blvd, Suite 111
Jonesboro, GA 302361503
Mailing address
3094 Bay View Dr
Jonesboro, GA 302364142
Authorized official
Mike Yap Tan, M.D.
President/ceo
📞 7704782057
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Myrna Gacusan Nurse Practitioner NPI 1174976088
- Stanley Kalish, DPM Podiatrist NPI 1811994379
Specialties
-
Case Management PrimaryAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00200956E |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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