GREGORY JUSTIN TANNER (MD) – Cardiovascular Disease Physician, NPI 1336587203

GREGORY JUSTIN TANNER (MD) is a healthcare provider. based in Tampa, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 87112 (GA). The NPI Number for GREGORY JUSTIN TANNER (MD) is 1336587203

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY JUSTIN TANNER (MD)
NPI
1336587203
Phone
(813) 250-2506
Address
17 DAVIS BLVD STE 308
Enumeration Date
12 June 2013
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7068795850
Graduation Year
2014 (12 years ago)
PAC ID
1153642350
Group Practice PAC ID
4486568037
Professional Enrollment ID
I20210809001620
Address ID
GA307016000CA1035XNEXX500

Contacts

Secure Messaging
gregory.tanner.1@1498.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:12State licenses:1Other names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for GREGORY JUSTIN TANNER (MD)

  • 17 DAVIS BLVD STE 308

    TAMPA, FL 336063438

    Phone: (813) 250-2506

    Type: Mailing

  • PO BOX 12938

    C/O CLINIC MANAGEMENT

    CALHOUN, GA 30703

    Phone: (706) 602-7800

    Type: Mailing

  • 221 TECHNOLOGY PKWY NW

    ROME, GA 301651369

    Phone: (762) 235-1000

    Type: Mailing

  • 504 REDMOND RD NW

    ROME, GA 301651416

    Phone: (762) 235-3130

    Fax: (706) 290-2721

    Type: Location

  • 591 REDMOND RD NW STE 103

    ROME, GA 301651415

    Phone: (706) 368-8500

    Fax: (706) 307-4613

    Type: Location

  • 7 JOHN MADDOX DR NW

    ROME, GA 301651413

    Phone: (706) 368-8500

    Fax: (706) 307-4613

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,286.

Total Amount is formed as General ($1,286) + Research ($0) + Ownership ($0) = $1,286.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boston Scientific Corporation ($378).

Total Amount

$1,286

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210809001620ICardiovascular Disease (Cardiology)GATBD
I20210922001671IInterventional CardiologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only345262$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function308308$0
99214Established patient office or other outpatient visit, 30-39 minutes283181$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes188112$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report167130$0
View full utilization report →

Insurance plans in this area (ZIP 33606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486568037View full group profile
NameSpecialtyState
Family PracticeGA
N E U R O S U R G E R YGA
Urology, Surgical OncologyGA
Internal MedicineGA
General SurgeryGA
N E U R O S U R G E R YVA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is GREGORY JUSTIN TANNER (MD)'s NPI number?
GREGORY JUSTIN TANNER (MD)'s NPI is 1336587203 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to GREGORY JUSTIN TANNER (MD)?
You should see GREGORY JUSTIN TANNER (MD) as active in CMS-hosted NPPES data.
What area of care is associated with GREGORY JUSTIN TANNER (MD)?
GREGORY JUSTIN TANNER (MD)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is GREGORY JUSTIN TANNER (MD) registered?
Use Tampa, Florida as the headline location for GREGORY JUSTIN TANNER (MD) here.
Does GREGORY JUSTIN TANNER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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