| Cala Brooke Tanner, | |
|
125 Memorial Dr, Reidsville, GA 30453-4641 | |
| (912) 644-5300 | |
| Not Available |
| Full Name | Cala Brooke Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 125 Memorial Dr, Reidsville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114579331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN249159 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Optim Medical Center - Tattnall | Reidsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tattnall Healthcare Llc | 3779547658 | 3 |
| Tattnall Hospital Company Llc | 6204907124 | 47 |
| Entity Name | Tattnall Hospital Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790942381 PECOS PAC ID: 6204907124 Enrollment ID: O20080915000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Cala Brooke Tanner, 460 Mall Blvd Ste B, Savannah, GA 31406-4801 Ph: (912) 644-5346 | Cala Brooke Tanner, 125 Memorial Dr, Reidsville, GA 30453-4641 Ph: (912) 644-5300 |
Alana Purcell Waters, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Memorial Dr, Reidsville, GA 30453 Phone: 912-557-6794 Fax: 912-557-6817 | |
Sharon J Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Memorial Dr, Reidsville, GA 30453 Phone: 912-557-3300 Fax: 478-237-9138 | |
Kaleigh Odom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Memorial Dr, Reidsville, GA 30453 Phone: 912-557-3434 Fax: 912-557-6760 | |
Sherry Richardson May, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Memorial Dr, Reidsville, GA 30453 Phone: 912-557-3434 Fax: 912-557-6760 | |
April D Mcbroom, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 342 E Brazell St, Reidsville, GA 30453 Phone: 912-557-1950 | |
Barbie Jenine Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 Fax: 912-644-5260 |