Nathan Tavolieri, PA-C
NPI 1063473510 · Physician Assistant · Fort Gordon, GA
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nathan Tavolieri, PA-C is a Physician Assistant provider in Fort Gordon, GA (NPI 1063473510).
Provider details
- NPI number
- 1063473510
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9103339 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2013-10-03
Frequently asked questions
- What is Nathan Tavolieri's NPI number?
- Nathan Tavolieri's National Provider Identifier (NPI) is 1063473510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathan Tavolieri's specialty?
- Nathan Tavolieri is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nathan Tavolieri located?
- Nathan Tavolieri's practice location on file with NPPES is 300 W Hospital Rd, Fort Gordon, GA 30905-5741.
- What is Nathan Tavolieri's phone number?
- The practice phone number listed in the NPPES registry for Nathan Tavolieri is (706) 787-3805.
- Does Nathan Tavolieri accept Medicare?
- Nathan Tavolieri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nathan Tavolieri's NPI active?
- Yes — Nathan Tavolieri's NPI (1063473510) is active in the NPPES registry as of the last update on 2013-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.