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

Mr. Charles Ray Tanner, PA-C

Individual provider Physician Assistant · NPI 1174579882

Mr. Charles Ray Tanner, PA-C is a Physician Assistant in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
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

900 E Oak Hill Ave
Knoxville, TN 37917-4522
Phone: (865) 545-8000
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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 1331 (TN)
Physician Assistant Taxonomy 363A00000X · Licence MT1404742 (TN)

Record details

NPI number1174579882
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 13, 2026

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