DR. LYDIA CHANEY TANNER (M.D.) – Family Medicine Physician, NPI 1790799740

DR. LYDIA CHANEY TANNER (M.D.) is a healthcare provider. based in Douglas, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 53885 (GA). The NPI Number for DR. LYDIA CHANEY TANNER (M.D.) is 1790799740

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYDIA CHANEY TANNER (M.D.)
NPI
1790799740
Phone
(912) 292-0658
Address
200 Doctors Dr Ste S
Enumeration Date
27 July 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9123845832
Graduation Year
2001 (25 years ago)
PAC ID
0840264701
Group Practice PAC ID
5193727964
Professional Enrollment ID
I20080312000353
Address ID
GA315015327WA1508XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. LYDIA CHANEY TANNER (M.D.)

  • 200 Doctors Dr Ste S

    Douglas, GA 315332203

    Phone: (912) 292-0658

    Fax: (912) 292-0670

    Type: Location

  • 100 DOCTORS DR STE G

    DOUGLAS, GA 315332211

    Phone: (912) 384-6186

    Fax: (912) 384-6187

    Type: Location

  • Douglas, 9, Kerepesi út, Kerepesdűlő, 8th district, Budapest, Central Hungary, 1087, Hungary

    DOUGLAS, GA 315341377

    Phone: (912) 384-1477

    Fax: (912) 384-1470

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $2,826.

Total Amount is formed as General ($2,826) + Research ($0) + Ownership ($0) = $2,826.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($461).

Total Amount

$2,826

General + Research + Ownership

Payments

157

Total payment records

General Amount

$2,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2008-03-12

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
I20080312000353IFamily 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
99213Established patient office or other outpatient visit, 20-29 minutes640329$0
99214Established patient office or other outpatient visit, 30-39 minutes327182$0
83036Hemoglobin a1c level175121$0
81003Automated urinalysis test11392$0
G0008Administration of influenza virus vaccine106102$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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Provider's Procedures

DR. LYDIA CHANEY TANNER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test1615

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: 5193727964View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
U R O L O G YGA
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerME
Cardiovascular Disease (Cardiology)GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyME

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LYDIA CHANEY TANNER (M.D.)'s NPI?
Yes. DR. LYDIA CHANEY TANNER (M.D.) is listed with NPI 1790799740 in the public NPI dataset.
Does the file indicate DR. LYDIA CHANEY TANNER (M.D.) is practicing under active NPI?
Directory data currently reports DR. LYDIA CHANEY TANNER (M.D.) as active.
What taxonomy line describes DR. LYDIA CHANEY TANNER (M.D.)?
For research purposes, treat DR. LYDIA CHANEY TANNER (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LYDIA CHANEY TANNER (M.D.) on a map?
Expect Douglas, Georgia as a primary anchor for DR. LYDIA CHANEY TANNER (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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