Individual Healthcare Provider
Caitlynn Nicole Tracy
Provider's NPPES record last updated: March 18, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1396461646
- Primary Specialty
- Physician Assistant
- Practice Location
- New City, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:52 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A 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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (New York)
- 032971
- Physician Assistant (South Carolina)
- PA4638
Practice Locations
Practice Location
200 E Eckerson Rd
New City, New York 10956-7153
Phone: (845) 352-0500
Additional Practice Location
3016 Longtown Commons Dr Ste 300
Columbia, South Carolina 29229-7864
Phone: (803) 744-4900
Fax: (803) 744-4935
Additional Practice Location
2828 Bayboro St
Loris, South Carolina 29569-2710
Phone: (843) 716-2229
Additional Practice Location
3650 Express Dr
Shallotte, North Carolina 28470-6501
Phone: (910) 754-2229
Additional Practice Location
2728 Sunset Blvd Ste 300
West Columbia, South Carolina 29169-4815
Phone: (803) 744-4900
Fax: (803) 744-4938
Additional Practice Location
105 Brevard Pkwy
Lexington, South Carolina 29073-7265
Phone: (803) 951-1880
Record Information
- Enumeration Date
- October 18, 2022
- Provider's NPPES Record Last Updated
- March 18, 2026
- Certification Date
- March 18, 2026
- NPISignal NPPES Dataset
- August 2026
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