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

Tracy Crockett, PA

Individual provider Medical Physician Assistant · NPI 1184626996

Tracy Crockett, PA is a Medical Physician Assistant in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2470 Daniels Bridge Rd Bldg 200 Ste 251
Athens, GA 30606-6187
Phone: (706) 389-3440
Fax: (706) 353-2771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1763 (GA)

Record details

NPI number1184626996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESFebruary 20, 2013

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