MRS. TABETHA BROOME RENNER PA-AC
NPI 1487810610
Anesthesiologist Assistant in Macon, GA

Q: What is Tabetha Renner's NPI number?

The NPI number for Tabetha Renner is 1487810610. It was assigned to this individual provider in the NPPES registry on August 7, 2008. The provider is also known as Tabetha Broome Ragin PA.

Q: What is Tabetha Renner's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tabetha Renner was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 07, 2008Accepts Medicare Assignment

400 CHARTER BLVD, MACON, GA 31210(478) 746-7577 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Tabetha Broome Renner Pa-ac NPPES

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

MRS. TABETHA BROOME RENNER PA-AC (NPI 1487810610) is an individual anesthesiologist assistant in Macon, Georgia, licensed in Georgia (05414) and active in the NPI registry since August 2008. She is affiliated with Coliseum Medical Centers, Llc, Dba, maintains a secondary practice location in Macon, and is a graduate of Emory University School Of Medicine (2008).

NPPES Registry Identity

NPI1487810610

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMRS. TABETHA BROOME RENNERCredential: PA-AC

Location Address400 CHARTER BLVDMacon, GA 31210-4831

Mailing AddressPo Box 2564Macon, GA 31203-2565 · (478) 746-5644 · Fax (478) 745-4849

Phone(478) 746-7577

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2008

Enumeration DateAugust 7, 2008

Last NPPES UpdateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1487810610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 05414

Definition

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.

400 CHARTER BLVD, Macon, GA 31210

Open in Google Maps ↗

Other Names 1

Former Name (1)Tabetha Broome Ragin Pa

Secondary Practice Location 1

Location 1380 Hospital Dr, Suite 410Macon, GA 31217 · Phone (478) 746-5644

Other Identifiers 7

Other580628385GA · Tricare

OtherP01101055GA · Railroad Medicare

Medicaid606097755EGA

Other578310GA · Wellcare

Medicaid606097755GGA

Medicaid606097755FGA

Medicaid606097755DGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tabetha Broome Renner Pa-ac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123172749

PECOS Enrollment IDI20090817000665

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services11 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110164

Location350 Hospital DriveMacon, GA 31217 · Bibb County

Emergency services Birthing friendly

Leave this field empty

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.

MARTHA KATHERINE LENNINGTON PA

Physician Assistant