| Mckayla Noble Tanner, AA | |
|
915 Gordon Ave, Thomasville, GA 31792-6614 | |
| (334) 279-1450 | |
| (334) 279-1660 |
| Full Name | Mckayla Noble Tanner |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 7 Years |
| Location | 915 Gordon Ave, Thomasville, 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 |
|---|---|---|---|
| 1821563354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 9068 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Anesthesia Associates, Pc | 1759349830 | 26 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | South Georgia Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckayla Noble Tanner, AA Po Box 2125, Columbus, GA 31902-2125 Ph: (334) 279-1450 | Mckayla Noble Tanner, AA 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (334) 279-1450 |
Jackson Seth Tucker, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 800-232-5703 | |
Donald Bruhn, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 | |
Christopher J Mock, CRNA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-395-4110 | |
Mark Moody, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-395-4110 |