Individual provider Active NPI

Tracee Chavawn Short, MD

  • Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1780813311
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.206571 Issued in LA
Practice address
9618 Jefferson Hwy Ste D149
Baton Rouge, LA 70809-9636
Phone
(478) 276-0513
NPI assigned
Jul 2, 2009
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X MD.206571 LA Primary
General Practice Physician 208D00000X E-6871 AR

Addresses

Primary practice location

9618 Jefferson Hwy Ste D149
Baton Rouge, LA 70809-9636

Mailing address

9618 Jefferson Hwy Ste D149
Baton Rouge, LA 70809-9636
Phone (478) 276-0513

Other practice location 1

2807 Greystone Commercial Blvd Ste 38
Hoover, AL 35242-9601
Phone (478) 276-0513

Other identifiers 2

IdentifierTypeStateIssuer
324582YUB6OtherLAMEDICARE PTAN
2347799MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114004280 LA Practitioner - General Surgery 6507035300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Rue de la Vie St
Suite 310
Baton Rouge, LA 70817-5128
Phone (225) 242-9019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206571LAMDSurgery Physician
E-6871ARMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Short Medical Group Surgery CurrentSince Dec 6, 2025 Accepting new patients
Dr B. E. Holmes PA Past Accepting new patients
Sherwood Urgent Care Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 310
Baton Rouge, LA 70817
Phone (225) 201-0413

9618 Jefferson Hwy
Ste D149
Baton Rouge, LA 70809
Phone (478) 276-0513

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1780813311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 JEFFERSON HWY STE D149",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099636",
            "telephone_number": "478-276-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 JEFFERSON HWY STE D149",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099636",
            "telephone_number": "478-276-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 Greystone Commercial Blvd Ste 38",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352429601",
            "country_code": "US",
            "telephone_number": "478-276-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TRACEE",
        "middle_name": "CHAVAWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.206571",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-6871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "324582YUB6",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347799",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.