Tracy M Fambrough, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

2000 Glen Echo Rd Ste 111
Nashville, TN 37215-2857

Phone

(615) 657-4805

NPI assigned

Aug 23, 2023

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

Other names 1

• Tracy M Hames Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ap of Nashville, LLC

  • Surgical Physician Assistant
  • Nashville, TN
  • NPI 1174990899
  NPD
• Florida Practitioners, LLC

  • Surgical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1528456548
  NPD (past)

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1962286641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD STE 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152857",
            "telephone_number": "615-657-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMBROUGH",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "HAMES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert J Fallis, MD
• Samuel Macdonald Fallon, MD
• Hunter Harold Falls
• Wiaam M Falouji, M.D.
• Mitchell Fambrough
• Family and Children'S Service
• Family and Cosmetic Dentistry of Nashville, PLLC
• Family Caregiving Solutions LLC
• Family Dental Health, PLLC
• Family Empowerment Services

• Surgical Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Surgical Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.