Traci Corbin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN261681 Issued in GA

Practice address

801 Insperon Dr
Grovetown, GA 30813-0610

Phone

(706) 432-9554

Fax

(706) 432-9384

NPI assigned

Dec 14, 2016

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
• Direct secure messaging: traci.corbin.1@14928.direct.athenahealth.com

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD
• Pediatric Partners of Augusta, LLC

  • Pediatrics Physician
  • Evans, GA
  • NPI 1417064924
  NPD
• Melissa Jadick

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1013927946
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1881138592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 INSPERON DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130610",
            "telephone_number": "706-432-9554",
            "fax_number": "706-432-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 INSPERON DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130610",
            "telephone_number": "706-432-9554",
            "fax_number": "706-432-9384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Town Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093487",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "TRACI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN261681",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN261681",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN261681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190470C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ashley Combs
• Community Service Board of East Central Georgia
• Dhruti Contractor, MD
• Lyndsey Cooper, RD
• Jazmyn Cope, RN
• Damarkus Corvera
• CPC-Gateway
• Kimberly Crawford, BCBA
• Luiza Roese Crosby
• CSB of East Central Ga

• Nurse Practitioner in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.