Tabetha Broome Renner, PA-AC
NPI 1487810610ActiveIndividual· Anesthesiologist Assistant· Macon, GA
Anesthesiologist Assistant (PA-AC) in Macon, Georgia, trained at Emory University School of Medicine (class of 2008). Medicare paid $11,774 for services to 80 patients in 2024.
Overview
| NPI | 1487810610 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-AC |
| Sole proprietor | No |
| NPI issued | Aug 7, 2008 |
| Last updated in NPPES | Apr 13, 2022 |
| Certified by provider | Apr 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 05414 | GA |
| Anesthesiologist Assistant | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 128 across 35 procedure codes |
| Paid by Medicare | $11,774 |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Piedmont Anesthesia LLCFayetteville, GA · 563 clinicians
Hospital affiliation
- Coliseum Medical Centers, LLC, DBAMacon, GA
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All 49 Anesthesiologist Assistant providers in Macon · All Anesthesiologist Assistant providers in Georgia