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

Tanner Nichols, DO

Individual provider Diagnostic Radiology Physician · NPI 1053846857

Tanner Nichols, DO is a Diagnostic Radiology in Rogers, Arkansas. Graduated from Oklahoma State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Radiology Alliance PC, a 424-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Mississippi and Tennessee.

Years since qualifying
9
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
AR, MS, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone: (870) 897-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7600 Wolf River Blvd, Germantown, TN 38138-1785 — (901) 312-4033
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-1785 — (615) 936-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4643 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 26319 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-13773 (AR)

Record details

NPI number1053846857
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2017
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address522 S Hunt Club Blvd # 413, Apopka, FL 32703-4960

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Radiology Alliance Pc — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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