NPI age
20 years
Enumerated 2006-03-31
● Active
Type 1 · Individual
MR. Nathan David Tavolieri, PA-C
Tavolieri is 1 of 20 physician assistant providers in Fort Gordon and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-10-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
300 W Hospital Rd, Building 329
Fort Gordon, GA 309055741
Mailing address
300 W Hospital Rd
Fort Gordon, GA 309055741
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 2921839-00 |
Practice context
Part of a multi-provider practice. 238 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Fort Gordon in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.