{"npi":"1255899092","type":"NPI-2","status":"active","name":{"display":"Tanner Primary Care Of Roanoke INC","other":[],"organization_name":"TANNER PRIMARY CARE OF ROANOKE INC","authorised_official":"Clint Hoffman"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"965 HIGHWAY 431","city":"ROANOKE","state":"AL","postal_code":"362747329","country_code":"US","phone":"3348632141","fax":"3348638733"},{"purpose":"MAILING","street_1":"100 GREENWAY BLVD FL 2","city":"CARROLLTON","state":"GA","postal_code":"301174338","country_code":"US","phone":"7708388710","fax":"7708125735"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190425001408","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"1153663091"},{"enrlmt_id":"O20191118001973","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"AL","pac_id":"1153663091"}]},"enumeration_date":"2019-03-12","last_updated":"2024-02-29","_meta":{"source":"NPPES","snapshot_date":"2024-02-29","doc_url":"https://findmynpi.com/api"}}