DR. WILLIAM GORDON TANNER M.D. NPI 1114911294

NPI Information

  • NPI: 1114911294
  • Provider Name: DR. WILLIAM GORDON TANNER, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 721 WELLNESS WAY
    STE 100
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (770) 995-7989

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NPI Details

DR. William Gordon Tanner, M.D. is a gastroenterology internal medicine in Lawrenceville, GA with 32 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. William Gordon Tanner, M.D. NPI is 1114911294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

721 WELLNESS WAY
STE 100
LAWRENCEVILLE, GA
ZIP 30046-304
Phone: (770) 995-7989
Fax: (770) 339-8646

The NPI 1114911294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Dilation of esophagus (HCPCS:43450)
  • Stool analysis for blood, by peroxidase activity (HCPCS:82272)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 9/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology046817GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18485OTHERGEORGIAPROMINA
210BBCDVMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3582061514007OTHERGEORGIAPRUDENTIAL
4695067MEDICARE UPINGEORGIA
500828396BMEDICAIDGEORGIA
68485OTHERGEORGIAONE HEALTH
729-00016OTHERGEORGIAUNITED HEALTH CARE
8100014260OTHERGEORGIARAIL ROAD MEDICARE
952237427OTHERGEORGIABLUE CROSS BLUE SHIELD
107231009OTHERGEORGIAMANAGE CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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