DR. WILLIAM GORDON JR. TANNER (M.D.) – Gastroenterology Physician, NPI 1114911294

DR. WILLIAM GORDON JR. TANNER (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 046817 (GA). The NPI Number for DR. WILLIAM GORDON JR. TANNER (M.D.) is 1114911294

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM GORDON JR. TANNER (M.D.)
NPI
1114911294
Phone
(770) 995-7989
Address
721 WELLNESS WAY
Enumeration Date
6 September 2005
Last Update Date
25 September 2012

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709953113
Graduation Year
1993 (33 years ago)
PAC ID
7416963731
Group Practice PAC ID
4082695143
Professional Enrollment ID
I20080519000579
Address ID
GA300468030LA721XXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

525 GASTROENTEROLOGY in GA

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Provider Addresses for DR. WILLIAM GORDON JR. TANNER (M.D.)

  • Wellness Way, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    STE 100

    LAWRENCEVILLE, GA 300463304

    Phone: (770) 995-7989

    Fax: (770) 339-8646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $2,599.

Total Amount is formed as General ($2,599) + Research ($0) + Ownership ($0) = $2,599.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($482).

Total Amount

$2,599

General + Research + Ownership

Payments

146

Total payment records

General Amount

$2,599

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2008-05-19

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
I20080519000579IGastroenterologyGATBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope284278$0
99214Established patient office or other outpatient visit, 30-39 minutes208159$0
45380Biopsy of large bowel using a flexible endoscope172170$0
99213Established patient office or other outpatient visit, 20-29 minutes158136$0
99203New patient office or other outpatient visit, 30-44 minutes144144$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 4082695143View full group profile
NameSpecialtyState
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
P A T H O L O G YGA
G A S T R O E N T E R O L O G YGA

Reviews

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Frequently asked questions

How do payers reference DR. WILLIAM GORDON JR. TANNER (M.D.)?
For DR. WILLIAM GORDON JR. TANNER (M.D.), use NPI 1114911294 as the unique 10-digit identifier.
Active or inactive — what applies to DR. WILLIAM GORDON JR. TANNER (M.D.)?
You should see DR. WILLIAM GORDON JR. TANNER (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. WILLIAM GORDON JR. TANNER (M.D.)'s focus?
For DR. WILLIAM GORDON JR. TANNER (M.D.), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WILLIAM GORDON JR. TANNER (M.D.)?
Directory geography for DR. WILLIAM GORDON JR. TANNER (M.D.) centers on Lawrenceville, Georgia.
Can I trust this NPI listing for DR. WILLIAM GORDON JR. TANNER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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