NPI age
19 years
Enumerated 2006-08-05
● 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
2024-10-02
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
101 Doctors Dr
Carrollton, GA 301174486
Mailing address
109 Cedar St Ste C
Carrollton, GA 301172667
Authorized official
Carol S. Crews
Cfo
📞 7708129745
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Adrienne Berard, M.D. Internal Medicine NPI 1972594166
- William Berard, M.D. Internal Medicine NPI 1992796882
- Joanne Gaw, M.D. Internal Medicine NPI 1417948308
- Maegan Simpkins Counselor NPI 1285593939
- Jessica Stockham, FNP-C Nurse Practitioner NPI 1558853325
- Jackie Stringfellow, M.D. Internal Medicine NPI 1386625200
- Kevin Webster, M.D. Internal Medicine NPI 1861483638
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) | 300027104A | MEDICAID PAYEE IDENTIFICATION NUMBER |
| 05 (GA) | 296667723A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tanner Medical Center Carrollton BH
Practice context
Multi-provider organization. 7 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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