MISS TRACEY LORENA TELLO CSFA, ST
NPI 1417388232
Physician Assistant - Surgical in Atlanta, GA

Q: What is Tracey Tello's NPI number?

The NPI number for Tracey Tello is 1417388232. It was assigned to this individual provider in the NPPES registry on December 4, 2013.

Q: What is Tracey Tello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Tello was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 04, 2013

931 MONROE DRIVE NE, SUITE 102 #641, ATLANTA, GA 30308(404) 312-1633 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2018, Mar 29, 2017 (2 updates tracked since 2017).

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About Miss Tracey Lorena Tello Csfa, St NPPES

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

MISS TRACEY LORENA TELLO CSFA, ST (NPI 1417388232) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (146587) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1417388232

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMISS TRACEY LORENA TELLOCredential: CSFA, ST

Location Address931 MONROE DRIVE NE, SUITE 102 #641Atlanta, GA 30308-7132

Mailing Address931 Monroe Dr Ne, Suite 102 #641Atlanta, GA 30308-1793 · (404) 312-1633

Phone(404) 312-1633

Sole ProprietorYes

Enumeration DateDecember 4, 2013

Last NPPES UpdateNovember 28, 20182 updates tracked since enumeration

✔ NPI 1417388232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 146587

931 MONROE DRIVE NE, Atlanta, GA 30308

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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 Tracey Tello's NPI number?

The NPI number for Tracey Tello is 1417388232. It was assigned to this individual provider in the NPPES registry on December 4, 2013.

Where is Tracey Tello located?

Tracey Tello practices at 931 Monroe Drive NE Suite 102 #641, Atlanta, GA 30308. The listed phone number is (404) 312-1633.

What is Tracey Tello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tracey Tello was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.