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

Johnson Dean Tanner, MD

Individual provider Specialist · NPI 1336237825

Johnson Dean Tanner, MD is a Diagnostic Radiology in Ridgeland, Mississippi. Graduated from University of Mississippi School of Medicine in 1995, 31 years ago. Practices with Community Health Association, a 68-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
31
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Phone: (601) 354-4327
Fax: (601) 360-0822
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 15195 (MS)
Specialist Taxonomy 174400000X · Licence 15195 (MS)

Record details

NPI number1336237825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021
Mailing address113 W Jackson St Ste B, Ridgeland, MS 39157-2402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Community Health Association — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Ridgeland