Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Medical Group Inc

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1396979787

Tanner Medical Group Inc is an Oral & Maxillofacial Surgery (D.M.D.) in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Greenway Blvd Fl 2
Carrollton, GA 30117-4338
Phone: (770) 838-8710
Fax: (770) 812-5735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Interventional Cardiology Physician Taxonomy 207RI0011X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Vascular Surgery Physician Taxonomy 2086S0129X (GA)
General Practice Physician Taxonomy 208D00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1396979787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Hoffman — Sr Vp · (770) 812-8845
NPI enumeratedMay 13, 2009
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address100 Greenway Blvd Fl 2, Carrollton, GA 30117-4338