Skip to content

Laken Renee Tanner, MSPAP, PA-C

NPI 1174229579ActiveIndividual· Physician Assistant· Waycross, GA

Physician Assistant (MSPAP, PA-C) in Waycross, Georgia, licensed in GA, with an NPI issued in February 2023. 142 Medicare patients in 2024, $14,217 paid; nearly all of their 314 Part D prescriptions were generic (96%).

Overview

NPI1174229579
StatusActive
Entity typeIndividual
CredentialMSPAP, PA-C
Sole proprietorNo
NPI issuedFeb 7, 2023
Last updated in NPPESFeb 7, 2023
Certified by providerJan 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X11382GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients142
Services billed155 across 8 procedure codes
Paid by Medicare$14,217

Part D prescriptions in 2024

Prescriptions (claims)314 · 320 30-day fills
Patients203
Total drug cost$3,556
Generic share96% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Waycross

All 19 physician assistants in Waycross · All physician assistants in Georgia