ROBERT DICKERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003853052

Certified Registered Nurse Anesthetist

ROBERT DICKERSON (CRNA) is a healthcare provider. based in Perry, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN129618 (GA). The NPI Number for ROBERT DICKERSON (CRNA) is 1003853052

Main info

Male

Sole Proprietor

25 Years Of Experience

Accepts Medicare Assignment

Name

ROBERT DICKERSON (CRNA)

NPI

1003853052

Phone

(478) 318-0414

Address

PO BOX 824

Enumeration Date

31 May 2006

Last Update Date

17 February 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4787467577

Graduation Year

2001 (25 years ago)

PAC ID

5193618650

Group Practice PAC ID

2163837972

Professional Enrollment ID

I20040206000765

Address ID

GA312173838MA350XXDRXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for ROBERT DICKERSON (CRNA)

PO BOX 824
PERRY, GA 310690824
Phone: (478) 318-0414
Type: Mailing
1013, Cherokee Road, Perry, Houston County, Georgia, 31069, United States
PERRY, GA 310690824
Phone: (478) 318-0414
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20040206000765	I	Certified Registered Nurse Anesthetist (Crna)	GA	TBD
I20120604000137	I	Certified Registered Nurse Anesthetist (Crna)	CT	TBD
I20130402000020	I	Certified Registered Nurse Anesthetist (Crna)	NC	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00812	Anesthesia for exam of colon using an endoscope	22	22	$0
00811	Anesthesia for other procedure on large bowel using an endoscope	19	19	$0

View full utilization report →

Insurance plans in this area (ZIP 31069)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2163837972View full group profile

Name	Specialty	State
CHRISTINE D LALLOS (MD)	A N E S T H E S I O L O G Y	GA
KEVWE ERUSIAFE	Anesthesiology Assistant	GA
ABIGAIL B. WHITE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	GA
JAYESH BHARAT BODALIA (AA)	Anesthesiology Assistant	GA
MARWAN ABDEL-FATTAH WEHEBA (MD)	A N E S T H E S I O L O G Y	FL
MR. RYAN C. WALLENTINE (PA-AA)	Anesthesiology Assistant	GA
HUBERT R III BUXTON (MD)	A N E S T H E S I O L O G Y	GA
JENIFER D. NOBLES (PAAA)	Anesthesiology Assistant	AL
ROSA HILDA SANCHEZ (CRNA)	Certified Registered Nurse Anesthetist (Crna)	GA
DAVID P WRIGHT (PA-AA)	Anesthesiology Assistant	FL

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Frequently asked questions

What number should I use to identify ROBERT DICKERSON (CRNA) for billing?

Administrative and clinical systems typically use NPI 1003853052 for ROBERT DICKERSON (CRNA).

Is ROBERT DICKERSON (CRNA)'s NPI status active today?

Active status means ROBERT DICKERSON (CRNA)'s NPI record is not deactivated in the public file.

What services align with ROBERT DICKERSON (CRNA)'s listing?

ROBERT DICKERSON (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Can patients visit ROBERT DICKERSON (CRNA) in Perry, Georgia?

For routing, start with Perry, Georgia for ROBERT DICKERSON (CRNA), then verify phone and hours locally.

Who maintains ROBERT DICKERSON (CRNA)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.