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

Miss. Perry Tanner, PA-C

Individual provider Physician Assistant · NPI 1760109524

Miss. Perry Tanner, PA-C is a Physician Assistant in Roswell, Georgia. Qualified in 2023, 3 years ago. Practices with Georgia Dermatology and Skin Cancer Center, LLC, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

415 E Crossville Rd
Roswell, GA 30075-7626
Phone: (770) 642-4664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760109524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Georgia Dermatology And Skin Cancer Center, Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roswell