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

Kristina Tanner, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1164055018

Kristina Tanner, PHYSICIANASSISTANT is a Physician Assistant in Birmingham, Alabama. Qualified in 2019, 7 years ago. Practices with Urology Centers of Alabama, PC, a 60-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2020
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Practice location Address checks out

52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428
Phone: (205) 838-4747
Fax: (205) 383-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1579 (AL)

Record details

NPI number1164055018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Urology Centers Of Alabama, Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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