TRACY CROCKETT (P.A.) – Medical Physician Assistant, NPI 1184626996

TRACY CROCKETT (P.A.) is a healthcare provider. based in Athens, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 1763 (GA). The NPI Number for TRACY CROCKETT (P.A.) is 1184626996

Main info

Female
Name
TRACY CROCKETT (P.A.)
NPI
1184626996
Phone
(706) 389-3440
Address
2470 DANIELS BRIDGE RD
Enumeration Date
11 August 2005
Last Update Date
20 February 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for TRACY CROCKETT (P.A.)

  • 2470 DANIELS BRIDGE RD

    BLDG 200 SUITE 251

    ATHENS, GA 306066187

    Phone: (706) 389-3440

    Fax: (706) 353-2771

    Type: Location

  • 1131 GOLF COURSE LN

    ATHENS, GA 306055350

    Phone: (706) 613-1518

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($192).

Total Amount

$207

General + Research + Ownership

Payments

3

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30606)

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Reviews

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Frequently asked questions

Is there an official ID for TRACY CROCKETT (P.A.) in U.S. healthcare records?
The official identifier for TRACY CROCKETT (P.A.) is NPI 1184626996.
Active or inactive — what applies to TRACY CROCKETT (P.A.)?
You should see TRACY CROCKETT (P.A.) as active in CMS-hosted NPPES data.
What clinical focus is listed for TRACY CROCKETT (P.A.)?
At a glance, TRACY CROCKETT (P.A.) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TRACY CROCKETT (P.A.) located near Athens?
TRACY CROCKETT (P.A.) currently maps to Athens, Georgia in this extract.
When was this NPI issued?
Enumeration for TRACY CROCKETT (P.A.) is noted as August 11, 2005 where the registry provides it.

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