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TRACY CROCKETT P.A.
NPI 1184626996
Physician Assistant - Medical in Athens, GA

Active since August 11, 2005
2470 DANIELS BRIDGE RD, BLDG 200 SUITE 251, ATHENS, GA 30606(706) 389-3440(706) 353-2771 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Crockett P.a. NPPES

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

TRACY CROCKETT P.A. (NPI 1184626996) is an individual medical provider in Athens, Georgia, licensed in Georgia (1763) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1184626996
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTRACY CROCKETTCredential: P.A.
Location Address2470 DANIELS BRIDGE RD, BLDG 200 SUITE 251Athens, GA 30606-6187
Mailing Address1131 Golf Course LnAthens, GA 30605-5350 · (706) 613-1518
Phone(706) 389-3440
Fax(706) 353-2771
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1184626996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 1763
2470 DANIELS BRIDGE RD, Athens, GA 30606
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Other Identifiers 3

Medicare UPINP37418
Medicare ID-Type Unspecified97WCDRVGA
Medicaid100000351CGA

Other Providers at the Same Location NPPES 10

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

ATHENS DENTISTRY FOR CHILDREN
Dentist (Pediatric Dentistry)
2470 DANIELS BRIDGE RD, SUITE 231
ATHENS, GA 30606
Clarke County (706) 355-3109
AG ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
2470 DANIELS BRIDGE RD, BUILDING 100 SUITE 151
ATHENS, GA 30606
Clarke County (706) 623-6699
MRS. KRISTEN BREWER POWER OTR/L
Occupational Therapist
2470 DANIELS BRIDGE RD, BLDG. 300
ATHENS, GA 30606
Clarke County (706) 389-2950
LAURA RAE STARK OTR/L
Occupational Therapist
2470 DANIELS BRIDGE RD, BLDG 300
ATHENS, GA 30606
Clarke County (706) 389-2950
MRS. ANTONIA ELIZABETH ADAMS
Occupational Therapist
2470 DANIELS BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 389-2950
STEPHANIE WITT NP
Nurse Practitioner (Adult Health)
2470 DANIELS BRIDGE RD, BUILDING 200, SUITE 251
ATHENS, GA 30606
Clarke County (706) 389-3440
BETH BURCH YOUNG NP-C
Nurse Practitioner (Adult Health)
2470 DANIELS BRIDGE RD, BLDG 200, SUITE 251
ATHENS, GA 30606
Clarke County (706) 389-3440
DANIELLE SIKES DUANE NP-C
Nurse Practitioner (Family)
2470 DANIELS BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 389-3440

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 Tracy Crockett's NPI number?

The NPI number for Tracy Crockett is 1184626996. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Tracy Crockett located?

Tracy Crockett practices at 2470 Daniels Bridge Rd Bldg 200 Suite 251, Athens, GA 30606. The listed phone number is (706) 389-3440.

What is Tracy Crockett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tracy Crockett was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.