Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nathan David Tavolieri, PA-C

Individual provider Physician Assistant · NPI 1063473510

Mr. Nathan David Tavolieri, PA-C is a Physician Assistant in Fort Gordon, Georgia. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Hospital Rd Bldg 329
Fort Gordon, GA 30905-5741
Phone: (706) 787-3805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103339 (FL)

Record details

NPI number1063473510
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESOctober 3, 2013

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