MRS. ALEXIA MICHELLE TANNER (LCSW) – Clinical Social Worker, NPI 1770967317

MRS. ALEXIA MICHELLE TANNER (LCSW) is a healthcare provider. based in Tifton, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW005210 (GA). The NPI Number for MRS. ALEXIA MICHELLE TANNER (LCSW) is 1770967317

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALEXIA MICHELLE TANNER (LCSW)
NPI
1770967317
Phone
(229) 388-0932
Address
P.O. BOX 2707
Enumeration Date
14 July 2015
Last Update Date
2 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293914100
Graduation Year
2006 (20 years ago)
PAC ID
4789966383
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20170113002382
Address ID
GA317942749TI2225XNXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for MRS. ALEXIA MICHELLE TANNER (LCSW)

  • P.O. BOX 2707

    TIFTON, GA 317930909

    Phone: (229) 388-0932

    Fax: (229) 388-0933

    Type: Mailing

  • 911 MAIN ST S

    TIFTON, GA 317944867

    Phone: (229) 396-4689

    Fax: (229) 396-4605

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-01-13

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
I20170113002382IClinical Social WorkerGATBD

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 31793)

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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: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What NPI should I save for MRS. ALEXIA MICHELLE TANNER (LCSW)?
Save NPI 1770967317 if you need a stable reference for MRS. ALEXIA MICHELLE TANNER (LCSW).
Is MRS. ALEXIA MICHELLE TANNER (LCSW) currently active in the NPI registry?
CMS-published data lists MRS. ALEXIA MICHELLE TANNER (LCSW) as an active registrant.
Does MRS. ALEXIA MICHELLE TANNER (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MRS. ALEXIA MICHELLE TANNER (LCSW). Clinical services aligned with this taxonomy classification.
Does MRS. ALEXIA MICHELLE TANNER (LCSW) practice in Georgia?
You will see Tifton, Georgia on file for MRS. ALEXIA MICHELLE TANNER (LCSW) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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