Individual provider Active NPI

Traci Elizabeth Bryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Marietta, GA
National Provider Identifier
1164528618
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN077540 Issued in GA
Practice address
823 Campbell Hill St NW
Marietta, GA 30060-1144
Phone
(678) 203-6711
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN077540 GA Primary

Addresses

Primary practice location

823 Campbell Hill St NW
Marietta, GA 30060-1144

Mailing address

88 Somerset LN
Cartersville, GA 30121-6653
Phone (770) 789-6220

Other practice location 1

768 West Ave
Cartersville, GA 30120-3477
Phone (770) 738-7617

Other practice location 2

958 Joe Frank Harris Pkwy SE Bldg A
Cartersville, GA 30120-2175
Phone (678) 605-9399

Other names 1

  • Traci Elizabeth Cowart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000865 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789628421 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.72 of 100Reported as group
Quality
77.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN077540GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Nov 1, 2023 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Nov 1, 2023 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Apr 23, 2023 Accepting new patients
Newnan Anesthesia Associates, LLC Past Accepting new patients
Women'S Surgical Center Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Tri-County Anesthesia, LLC Past Accepting new patients
Southeast Anesthesia PC Past Accepting new patients

Locations

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

227 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733

958 Joe Frank Harris Pkwy SE
Ste 107
Cartersville, GA 30120
Phone (678) 605-9309

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1388 Wellbrook Cir NE
Conyers, GA 30012

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

112 Arkwright Lndg
Macon, GA 31210
Phone (478) 471-9779

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

100 Three Rivers Dr NE
Ste B
Rome, GA 30161
Phone (706) 292-0400

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1164528618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SOMERSET LN",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301216653",
            "telephone_number": "770-789-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CAMPBELL HILL ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601144",
            "telephone_number": "678-203-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "768 West Ave",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301203477",
            "country_code": "US",
            "telephone_number": "770-738-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "958 Joe Frank Harris Pkwy SE Bldg A",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202175",
            "country_code": "US",
            "telephone_number": "678-605-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "TRACI",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN077540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "COWART",
            "middle_name": "ELIZABETH",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.