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

Tracy Dale Stanley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1730496878

Tracy Dale Stanley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Moultrie, Georgia. Qualified in 2010, 16 years ago. Practices with Ams Southeast LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 891-9131
Fax: (229) 891-9079
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN211459 (GA)

Record details

NPI number1730496878
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 10, 2010
Last updated in NPPESAugust 27, 2012

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ams Southeast Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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