NPI age
12 years
Enumerated 2013-06-05
● Active
Type 1 · Individual
Tracey Bastiaans, DO
Bastiaans is 1 of 1 plastic surgery providers in Moultrie and 1 of 284 in Georgia.
Primary specialty
Plastic Surgery
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 284 active plastic surgery providers in Georgia.
NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Practice location
4 Live Oak Ct
Moultrie, GA 317686783
Mailing address
Po Box 2876
Moultrie, GA 317762876
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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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.