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

Mrs. Tabetha Broome Renner, PA-AC

Individual provider Anesthesiologist Assistant · NPI 1487810610

Mrs. Tabetha Broome Renner, PA-AC is an Anesthesiology Assistant in Macon, Georgia. Graduated from Emory University School of Medicine in 2008, 18 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2008
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Charter Blvd
Macon, GA 31210-4831
Phone: (478) 746-7577
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 380 Hospital Dr, Macon, GA 31217 — (478) 746-5644

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 05414 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1487810610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-AC
Sole proprietorNo
NPI enumeratedAugust 7, 2008
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Macon