Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Tabetha Broome Renner, PA-AC

Anesthesiologist Assistant in Macon, GA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487810610

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Registry record

Entity type Individual (Type 1)

Name Mrs. Tabetha Broome Renner

Credential PA-AC

Sex Female

Practice address 400 Charter Blvd, Macon, GA, 31210

Phone (478) 746-7577

Enumeration date Aug 7, 2008

Last updated in NPPES Apr 13, 2022

Taxonomy & licenses

367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers · License 05414 (GA) Primary

Other identifiers

Identifier	Type	State	Issuer
606097755D	Medicaid	GA	-
606097755G	Medicaid	GA	-
580628385	Other	GA	TRICARE
P01101055	Other	GA	RAILROAD MEDICARE
606097755E	Medicaid	GA	-
606097755F	Medicaid	GA	-
578310	Other	GA	WELLCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Tabetha Renner's NPI record?

Cross-check NPI 1487810610 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1487810610 active?

Yes, as of the latest NPPES snapshot, NPI 1487810610 is active (record last updated 2022-04-13).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-13.