DR. TANNIS ALLIGOOD (MD) – Family Medicine Physician, NPI 1265457717

DR. TANNIS ALLIGOOD (MD) is a healthcare provider. based in Blackshear, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 51288 (GA). The NPI Number for DR. TANNIS ALLIGOOD (MD) is 1265457717

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANNIS ALLIGOOD (MD)
NPI
1265457717
Phone
(912) 449-4426
Address
120 E Carter Ave
Enumeration Date
13 July 2006
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9124628920
Graduation Year
2000 (26 years ago)
PAC ID
7618865858
Group Practice PAC ID
8123013455
Professional Enrollment ID
I20040309000337
Address ID
GA315534032NA71XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. TANNIS ALLIGOOD (MD)

  • 120 E Carter Ave

    Blackshear, GA 315161561

    Phone: (912) 449-4426

    Fax: (912) 449-1059

    Type: Location

  • Carter Avenue, Blackshear, Pierce County, Georgia, 31516, United States

    BLACKSHEAR, GA 315161561

    Phone: (912) 449-1501

    Type: Mailing

  • 71, Johnson Street, Burton Terrace, Nahunta, Brantley County, Georgia, 31553, United States

    NAHUNTA, GA 31553

    Phone: (912) 462-8920

    Type: Location

  • 705 WELLS RD STE 300

    ORANGE PARK, FL 320732982

    Phone: (912) 462-8920

    Fax: (912) 462-5187

    Type: Mailing

  • 71 JOHNSON ST

    NAHUNTA, GA 315534032

    Phone: (912) 462-8920

    Fax: (912) 462-5187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Boston Scientific Corporation ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-03-09

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
I20040309000337IFamily PracticeGATBD

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
36415Insertion of needle into vein for collection of blood sample302138$0
99214Established patient office or other outpatient visit, 30-39 minutes295140$0
96372Injection of drug or substance under skin or into muscle22446$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg18629$0
99213Established patient office or other outpatient visit, 20-29 minutes13787$0
View full utilization report →

Insurance plans in this area (ZIP 31516)

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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: 8123013455View full group profile
NameSpecialtyState
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerFL
-GA
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TANNIS ALLIGOOD (MD)?
DR. TANNIS ALLIGOOD (MD) — NPI 1265457717 — is the standard way to identify this listing.
Does the file indicate DR. TANNIS ALLIGOOD (MD) is practicing under active NPI?
Directory data currently reports DR. TANNIS ALLIGOOD (MD) as active.
What taxonomy line describes DR. TANNIS ALLIGOOD (MD)?
For research purposes, treat DR. TANNIS ALLIGOOD (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. TANNIS ALLIGOOD (MD) based?
DR. TANNIS ALLIGOOD (MD) is tied to Blackshear, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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