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

Tracey Bastiaans, DO

Individual provider Plastic Surgery Physician · NPI 1952749582

Tracey Bastiaans, DO is a Plastic and Reconstructive Surgery in Moultrie, Georgia. Graduated from Chicago College of Osteopathy in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Chicago College of Osteopathy
Licensed in
PA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4 Live Oak Ct
Moultrie, GA 31768-6783
Phone: (229) 785-2400
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence OT018067 (PA)

Record details

NPI number1952749582
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 5, 2013
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing addressPo Box 2876, Moultrie, GA 31776-2876

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolCHICAGO COLLEGE OF OSTEOPATHY
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount