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

Lisette Davidson Tanner, MD, MPH

Individual provider Obstetrics & Gynecology Physician · NPI 1356617435

Lisette Davidson Tanner, MD, MPH is an Obstetrics/Gynecology in Columbus, Georgia. Qualified in 2012, 14 years ago. Practices with The Medical Center, Inc, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
14
Licensed in
CA, GA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2000 10th Ave Ste 100
Columbus, GA 31901-3703
Phone: (706) 571-1285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6410 Fannin St, Houston, TX 77030-3000 — (832) 325-7288

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 86451 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 86451 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A131471 (CA)

Record details

NPI number1356617435
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address6410 Fannin St, Suite 210, Houston, TX 77030-3000

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Medical Center, Inc. — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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