PAULA MOORE MCMICKEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013144088

PAULA MOORE MCMICKEN (CRNA) is a healthcare provider. based in Cartersville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN149324 (GA). The NPI Number for PAULA MOORE MCMICKEN (CRNA) is 1013144088

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
PAULA MOORE MCMICKEN (CRNA)
NPI
1013144088
Phone
(770) 382-4646
Address
180 ROAD 3 S
Enumeration Date
17 June 2009
Last Update Date
17 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124276811
Graduation Year
2009 (17 years ago)
PAC ID
9830371905
Group Practice PAC ID
3678949146
Professional Enrollment ID
I20110314000120
Address ID
GA315450210JE865XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

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Provider Addresses for PAULA MOORE MCMICKEN (CRNA)

  • Old Mill Road, Ladds, Cartersville, Bartow County, Georgia, 30120, United States

    CARTERSVILLE, GA 301205509

    Phone: (770) 382-4646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110314000120ICertified Registered Nurse Anesthetist (Crna)GATBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery6766$0
01930Anesthesia for other x-ray on vein or lymph system3723$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2725$0
01402Anesthesia for procedure for total knee joint replacement2725$0
76942Ultrasonic guidance for needle placement2120$0
View full utilization report →

Insurance plans in this area (ZIP 30120)

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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: 3678949146View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What unique ID ties claims to PAULA MOORE MCMICKEN (CRNA)?
NPI 1013144088 is assigned to PAULA MOORE MCMICKEN (CRNA) under the national enumeration system.
Is PAULA MOORE MCMICKEN (CRNA)'s NPI currently valid?
The extract we use shows PAULA MOORE MCMICKEN (CRNA) as active.
Can you summarize PAULA MOORE MCMICKEN (CRNA)'s specialty in plain language?
Clinically, the directory lists PAULA MOORE MCMICKEN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does PAULA MOORE MCMICKEN (CRNA) practice in Georgia?
You will see Cartersville, Georgia on file for PAULA MOORE MCMICKEN (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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