Tracy C Echuck, PA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

153136 Issued in GA

Practice address

9035 Kelly Bridge Rd
Dawsonville, GA 30534-4955

Phone

(770) 480-1311

NPI assigned

May 13, 2015

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

• Fast Surgical Services

  • Surgical Assistant
  • Canton, GA
  • NPI 1093190837
  Authorized official Same address or phone

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1275911083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 KELLY BRIDGE RD",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344955",
            "telephone_number": "770-480-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 KELLY BRIDGE RD",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344955",
            "telephone_number": "770-480-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHUCK",
        "first_name": "TRACY",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "153136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durall Capital Holdings, LLC (Dawson Family Physicians)
• Durall Capital Holdings, LLC (Dawson Family Physicians)
• Michele R Dvorak, RN, MA, BSN, CCM
• Gary Lee Eads
• Chloie A Eberhard
• Nicholas Ehmann, PHARMD
• Joshua Elder
• Shaun Elliott, DMD
• Eric D. Gruen D.P.M., P.C. (Gruen Podiatry)
• Breanna Lauren Ernst, M.ED.,CCC-SLP

• Surgical Assistant in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.