Individual provider Active NPI

Traci L Bazzano, CRNA

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
National Provider Identifier
1285736280
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN172807 Issued in GA
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 350-8000
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 RN172807 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

PO Box 933642
Atlanta, GA 31193-0001
Phone (912) 354-4847

Other identifiers 1

IdentifierTypeStateIssuer
541979731AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000104 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436112687 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James G Hankerson PAGroup PAC ID 1254424955, 19 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN172807GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Joint and Spine, LLC CurrentSince Jun 22, 2022 Accepting new patients
James G Hankerson PA Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Tampa Bay Surgery Center Associates LTD CurrentSince Feb 9, 2020 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2019 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Healthcare Career Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2022 Accepting new patients
Amsurg Tampa Bay Anesthesia LLC CurrentSince Aug 19, 2022 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Tampa Bay Surgery Center Associates LTD CurrentSince Feb 9, 2020 Accepting new patients
Feinerman Anesthesia PA CurrentSince Jan 1, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients
Lsi Houston, PA Past Accepting new patients
Eminence Anesthesia LLC Past Accepting new patients
Butler Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 40)

514 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 358-1568

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500

3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1285736280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933642",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311930001",
            "telephone_number": "912-354-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZANO",
        "first_name": "TRACI",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN172807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541979731A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.