CALA BROOKE TANNER – Family Nurse Practitioner, NPI 1114579331

CALA BROOKE TANNER is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN249159 (GA). The NPI Number for CALA BROOKE TANNER is 1114579331

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CALA BROOKE TANNER
NPI
1114579331
Phone
(912) 644-5346
Address
460 MALL BLVD STE B
Enumeration Date
9 July 2019
Last Update Date
9 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125578990
Graduation Year
2019 (7 years ago)
PAC ID
8325470487
Group Practice PAC ID
6204907124
Professional Enrollment ID
I20191112001992
Address ID
GA304534605RE257XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for CALA BROOKE TANNER

  • 460, Mall Boulevard, Grove Park, Savannah, Chatham County, Georgia, 31406, United States

    SAVANNAH, GA 314064801

    Phone: (912) 644-5346

    Fax: (912) 644-3369

    Type: Mailing

  • 125, Memorial Drive, Reidsville, Tattnall County, Georgia, 30453, United States

    REIDSVILLE, GA 304534641

    Phone: (912) 644-5300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$151

General + Research + Ownership

Payments

7

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

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: 2019-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20191112001992INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31406)

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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: 6204907124View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
-GA
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
Nurse PractitionerGA
-GA
Hand Surgery, Orthopedic SurgeryGA
Pain Management, AnesthesiologyGA

Reviews

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Frequently asked questions

What number should I use to identify CALA BROOKE TANNER for billing?
Administrative and clinical systems typically use NPI 1114579331 for CALA BROOKE TANNER.
Is CALA BROOKE TANNER currently accepting referrals based on NPI status?
Registry metadata lists CALA BROOKE TANNER as active.
What services align with CALA BROOKE TANNER's listing?
CALA BROOKE TANNER's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit CALA BROOKE TANNER in Savannah, Georgia?
For routing, start with Savannah, Georgia for CALA BROOKE TANNER, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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