TRACY PAVONE AA NPI 1881730984

NPI Information

  • NPI: 1881730984
  • Provider Name: TRACY PAVONE, AA
  • Classification: Anesthesiologist Assistant - 367H00000X
  • Entity Type: Individual
  • Address: 3100 KEMBLE AVE
    BRUNSWICK, GA
    ZIP 31520
  • Phone: (912) 264-7000

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NPI Details

Tracy Pavone, AA is an anesthesiologist assistant in Brunswick, GA with 30 years of experience. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. Tracy Pavone, AA NPI is 1881730984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

3100 KEMBLE AVE
BRUNSWICK, GA
ZIP 31520-211
Phone: (912) 264-7000

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.

  • Anesthesia for other procedure on lower abdomen (HCPCS:00840)
  • Anesthesia for other procedure on skin of arms, legs, and front body (HCPCS:00400)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/13/2011.

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
1363A00000XPhysician Assistant002697GEORGIANo
2367H00000XAnesthesiologist Assistant2697GEORGIAYes

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
1202I329175MEDICARE PINGEORGIA

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: 3/30/2025

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