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DR. JOHN CALVIN TANNER DO NPI 1952337990


NPI Information

NPI: 1952337990
Provider Name: DR. JOHN CALVIN TANNER, DO
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
340 16TH AVE N STE A
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 241-2653
Get Directions

DR. John Calvin Tanner, DO is an addiction medicine psychiatry neurology in Jacksonville Beach, FL with 41 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. John Calvin Tanner, DO NPI is 1952337990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1983

The provider's business location address is:

340 16TH AVE N STE A
JACKSONVILLE BEACH, FL
ZIP 32250-819
Phone: (904) 241-2653
Fax: (904) 758-0559

The NPI 1952337990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90836)
  • Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 9/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS0004709FLORIDANo
2207QA0401XFamily MedicineAddiction MedicineOS0004709FLORIDANo
32084A0401XPsychiatry & NeurologyAddiction MedicineOS4709FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
182622OTHERFLORIDABCBS
2010659200MEDICAIDFLORIDA
3068895900MEDICAIDFLORIDA
4080025596OTHERFLORIDAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.