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Active NPI 1487810610 Individual Practitioner Female Practitioner

Tabetha Broome Renner , PA-AC

Anesthesiologist Assistant • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tabetha Renner, PA-AC is a certified Anesthesiologist Assistant practicing in Macon, GA. With approximately 18 years of clinical experience since graduating from Emory University School Of Medicine in 2008, Tabetha Renner delivers high-quality medical care to the local community at 400 CHARTER BLVD.

Tabetha Renner is affiliated with Piedmont Anesthesia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin, ultrasonic guidance for blood vessel access, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Charter Blvd

Macon, GA 312104831

Telephone 4787467577
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Macon, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -0.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Macon, GA (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Renner (18 Years) 18 Yrs
Macon Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin
15 15 $156.00 $41.96
76937 Ultrasonic guidance for blood vessel access
12 12 $200.00 $13.17
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
12 11 $967.50 $72.41

Medical Specialties & State Licenses

CMS Verified: 2022-04-13
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License GA 05414

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
606097755E (GA)
Medicaid State Provider ID
606097755F (GA)
Medicaid State Provider ID
606097755G (GA)
Medicaid State Provider ID
606097755D (GA)
Commercial Insurance / Payer ID Railroad Medicare
P01101055 (GA)
Commercial Insurance / Payer ID Tricare
580628385 (GA)
Commercial Insurance / Payer ID Wellcare
578310 (GA)

Hospital & Practice Group Affiliations

Piedmont Anesthesia Llc

400 Charter Blvd, Macon, GA 312104831

Phone: 4787467577

Secondary Practice Locations

380 Hospital Dr, Suite 410

Macon, GA 31217

Phone: 4787465644

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1285602136

Doctor of Medicine (M.D.)

Denny Tsang , PA-AA

Anesthesiologist Assistant

NPI 1770591554

PAAA

Justin Jones , AA

Anesthesiologist Assistant

NPI 1821511437
Tina Shaheen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1841255338

Certified Registered Nurse Anesthetist

Wayne Littlefield , PA-AA

Anesthesiologist Assistant

NPI 1861865859

PAAA

NPI 1871706606

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 13, 2022

Registered at 400 CHARTER BLVD, MACON, GA 312104831 (Tel: 4787467577)

👤
Provider Name / Credentials Updated April 13, 2022

Recorded as TABETHA RENNER, PA-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2022

Anesthesiologist Assistant

NPI Profile Active June 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2013

Registered at 380 HOSPITAL DR, SUITE 410, MACON, GA 31217 (Tel: 4787465644)

📍
Updated Business Mailing Address June 04, 2013

Registered at PO BOX 2564, MACON, GA 312032565 (Tel: 4787465644)

👤
Provider Name / Credentials Updated June 04, 2013

Recorded as TABETHA RAGIN, PA-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Anesthesiologist Assistant (License #05414 in GA)

🟢
Initial NPI Registration & Enumeration August 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487810610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2008
Last Update: April 13, 2022
Sole Proprietor: No

Mailing Address

Po Box 2564

Macon, GA 312032565

Phone: 4787465644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.