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MR. NATHAN DAVID TAVOLIERI PA-C
NPI 1063473510
Physician Assistant in Fort Gordon, GA

Active since March 31, 2006PECOS Enrolled
300 W HOSPITAL RD, BUILDING 329, FORT GORDON, GA 30905(706) 787-3805 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Nathan David Tavolieri Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHAN DAVID TAVOLIERI PA-C (NPI 1063473510) is an individual physician assistant in Fort Gordon, Georgia, licensed in Florida (PA9103339) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063473510
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NATHAN DAVID TAVOLIERICredential: PA-C
Location Address300 W HOSPITAL RD, BUILDING 329Fort Gordon, GA 30905-5741
Mailing Address300 W Hospital RdFort Gordon, GA 30905-5741 · (706) 787-3805
Phone(706) 787-3805
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 3, 2013
✔ NPI 1063473510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9103339
Definition
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.
300 W HOSPITAL RD, Fort Gordon, GA 30905
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Other Identifiers 4

Medicare UPINQ52598FL
Medicare PINP00807795FL
Medicare PINU5990YFL
Medicaid2921839-00FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nathan David Tavolieri Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT WILLIAM BOYER P.T., DPT, OCS
Physical Therapist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1024
MS. JANIS C RAYNOR LCSW
Social Worker (Clinical)
300 W HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Richmond County (706) 787-9186
DR. LEO MORRIS JOSEPH MD
Internal Medicine
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DANA JENKINS FNP
Nurse Practitioner (Adult Health)
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905
Richmond County (706) 787-5161
DR. GREGORY J SENGSTOCK MD PHD
Psychiatry & Neurology (Vascular Neurology)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1335
DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON
Military Hospital
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2920
NEELY HUDSON PHARM.D.
Pharmacist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
BRENDA CLEVELAND
Registered Nurse (Pain Management)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Tavolieri's NPI number?

The NPI number for Nathan Tavolieri is 1063473510. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Nathan Tavolieri located?

Nathan Tavolieri practices at 300 W Hospital Rd Building 329, Fort Gordon, GA 30905. The listed phone number is (706) 787-3805.

What is Nathan Tavolieri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathan Tavolieri enrolled in Medicare?

Yes. Nathan Tavolieri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Tavolieri was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.