Tracy A Pedigo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

75568 Issued in SC

Practice address

22725 Highway 76 E
Clinton, SC 29325-7527

Phone

(864) 833-9100

Fax

(864) 833-9297

NPI assigned

Jan 20, 2006

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates, PAGroup PAC ID 1951215433, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Greenville, SC
  • NPI 1487684031
  Medicare reassignment Care Compare group NPD
• Greenville Health System

  dba GHS Patewood Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  Medicare reassignment NPD
• Prisma Health-Upstate

  dba Prisma Health Greenville Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1649726738
  Medicare reassignment NPD
• Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Simpsonville, SC
  • NPI 1699710608
  NPD
• Pathology Associates of Greenville PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1831151976
  NPD
• Prisma Health-Upstate

  dba Prisma Health Patewood Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1124574223
  NPD
• Anesthesiology of Greenwood PA

  • Anesthesiology Physician
  • Greenwood, SC
  • NPI 1932189081
  NPD (past)
• Golden Rule Medical Services, Inc

  • Specialist
  • Irmo, SC
  • NPI 1477501708

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Greenville Health System

  dba GHS Laurens County Anesthesia

  • Anesthesiology Physician
  • Clinton, SC
  • NPI 1124469143
  NPD (past)
• Laurens County Health Care System

  dba Laurens County Anesthesia

  • Anesthesiology Physician
  • Clinton, SC
  • NPI 1568791895
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1831179118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9100",
            "fax_number": "864-833-9297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-588-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "75568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1306",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Patel, DO
• Puja Ashok Patel, DMD
• Jennifer White Patterson, APRN, FNP-BC
• PC Community Care Pharmacy
• Kathryn Anderson Peacock, PHARMD
• Jessica Isabella Persaud
• Starlin D. Phelps, MA, CACP
• Kristin Maureen Phillips, FNP-C
• Physical Rehabilitation Group, LLC
• Physician Management Services of South Carolina, LLC

• Certified Registered Nurse Anesthetist in Clinton, SC
• Providers in Clinton, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.