Tabetha Broome Renner, PA-AC
Anesthesiologist Assistant · Macon, GA
Tabetha Broome Renner, PA-AC is an anesthesiologist assistant with a practice address in Macon, Georgia, and NPI 1487810610, issued on Aug 7, 2008. Check the license (Georgia 05414, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tabetha Broome Renner
- Credential
- PA-AC
- Primary taxonomy
- Anesthesiologist Assistant 367H00000X
- License number
- 05414 GA
Self-reported in NPPES; status is on the state search - Practice location
- 400 Charter Blvd, Macon, GA 31210
- Phone
- (478) 746-7577
- Enumerated
- Aug 7, 2008
- Record last updated
- Apr 13, 2022
- Medicaid IDs
- 606097755D GA
606097755G GA
606097755E GA
606097755F GA - Medicare enrollment
- Enrolled (PECOS I20090817000665); accepts Medicare assignment
- Medical or professional school
- Emory University School Of Medicine, 2008
- Entity
- Type 1 · individual
8 nearest anesthesiologist assistant records → All 1,541 in Georgia → Look up another NPI →
Also registered at 400 Charter Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Adebola Adeogun, MDEmergency Medical Services (Emergency Medicine) Physician1710939194
- Patricia Baldwin, PA-CMedical Physician Assistant1407266968
- Cheryl Brett, RDN, LDNNutrition Education Nutritionist1669049664
- Martha Burnham, RDRegistered Dietitian1992767990
- Jennifer Dorough, NPNurse Practitioner1295219939
- James GayRegistered Nurse1952996365
Verify Tabetha Broome Renner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 05414Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Piedmont Anesthesia LLCMacon, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tabetha Broome Renner among 1,541 anesthesiologist assistant records in Georgia
Tabetha Broome Renner, PA-AC is one of 1,541 anesthesiologist assistant records with a practice address in Georgia. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 30% of them.
- NPI issued2008 · 30% of these records are older, 66% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 83% of these records are
- Graduated2008 · median 2015 among the 1,271 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367H00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
48 anesthesiologist assistant records list a practice address in Macon
They are 48 of the 3,715 NPPES records with a practice address in Macon, and 1,541 anesthesiologist assistant records in Georgia.
All 1,541 in Georgia → Every provider in Macon → Anesthesiologist Assistant nationwide →
The 8 anesthesiologist assistant records with the nearest ZIP codes
- Sallie Bateman, PA/AAMacon, GA 312171295743003
- Diana Fowler, PA/AAMacon, GA 312171447268271
- Christie Gibson, PA-ACMacon, GA 312171154641447
- Deana Grogan, PA/AAMacon, GA 312171962667436
- Blair Harris, PA/AAMacon, GA 312171679581490
- Lester Leggette, PA-AAMacon, GA 312171871584417
- Devin Poston, PA-AMacon, GA 312171629493481
- Yaratha ReddyMacon, GA 312171417236076
Common questions
What is Tabetha Broome Renner, PA-AC's NPI number?
Tabetha Broome Renner, PA-AC's National Provider Identifier (NPI) is 1487810610, issued on Aug 7, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Tabetha Broome Renner, PA-AC located?
The NPPES record lists a practice address at 400 Charter Blvd, Macon, GA, 31210. Phone: (478) 746-7577. Providers update this record themselves, so call before visiting.
How can I verify Tabetha Broome Renner, PA-AC's license?
NPPES lists Georgia license number 05414, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.