Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174229579 Individual Practitioner Female Practitioner

Laken Renee Tanner , MSPAP, PA-C

Physician Assistant • Waycross, GA

Professional Overview & Biography Verified Profile Summary

Laken Tanner, MSPAP, PA-C is a registered healthcare professional specializing in Physician Assistant in Waycross, GA. Practice services are available at 1900 TEBEAU ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Tebeau St

Waycross, GA 315016357

Telephone 9122833030
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waycross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Waycross, GA (4726 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
76 76 $1603.26 $143.20
99284 Emergency department visit with moderate level of medical decision making
61 60 $1087.00 $98.89
99283 Emergency department visit with low level of medical decision making
13 12 $595.00 $57.94

Medical Specialties & State Licenses

CMS Verified: 2023-01-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 11382

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1104322056

Doctor of Medicine (M.D.)

William Rouse , APRN-BC

Nurse Practitioner - Acute Care

NPI 1124265426

APRNBC

Jana Revels , NP

Nurse Practitioner

NPI 1336791425

Nurse Practitioner

NPI 1346800331

Doctor of Medicine (M.D.)

Melissa Waters , FNP-C

Nurse Practitioner - Family

NPI 1396197208

Family Nurse Practitioner (Certified)

John Rowell , NP

Nurse Practitioner

NPI 1396490025

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2023

Registered at 1900 TEBEAU ST, WAYCROSS, GA 315016357 (Tel: 9122833030)

📍
Updated Business Mailing Address February 07, 2023

Registered at 99 RUFUS RD, WILLACOOCHEE, GA 316505400 (Tel: 9123270659)

👤
Provider Name / Credentials Updated February 07, 2023

Recorded as LAKEN TANNER, MSPAP, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2023

Physician Assistant (License #11382 in GA)

🟢
Initial NPI Registration & Enumeration February 07, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174229579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2023
Last Update: February 07, 2023
Sole Proprietor: No

Mailing Address

99 Rufus Rd

Willacoochee, GA 316505400

Phone: 9123270659

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.