TABITHA BEVERLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144398488

TABITHA BEVERLY (CRNA) is a healthcare provider. based in Conyers, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN158148 (GA). The NPI Number for TABITHA BEVERLY (CRNA) is 1144398488

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA BEVERLY (CRNA)
NPI
1144398488
Phone
(770) 388-7745
Address
1388B WELLBROOK CIR NE
Enumeration Date
4 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703887745
Graduation Year
2005 (21 years ago)
PAC ID
4486757655
Group Practice PAC ID
4284536855
Professional Enrollment ID
I20070308000018
Address ID
GA300123738CO1612XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for TABITHA BEVERLY (CRNA)

  • Wellbrook Circle Northeast, Conyers, Rockdale County, Georgia, 30012, United States

    CONYERS, GA 300123872

    Phone: (770) 388-7745

    Fax: (770) 922-0526

    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)

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: 2007-03-08

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
I20070308000018ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5553$0
00811Anesthesia for other procedure on large bowel using an endoscope2826$0
00813Anesthesia for procedure on small and large bowel using an endoscope2626$0
00812Anesthesia for exam of colon using an endoscope2121$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope1312$0
View full utilization report →

Insurance plans in this area (ZIP 30012)

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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: 4284536855View full group profile
NameSpecialtyState
-GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YNY
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
-GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)GA

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Frequently asked questions

Can I use this page to confirm TABITHA BEVERLY (CRNA)'s NPI?
Yes. TABITHA BEVERLY (CRNA) is listed with NPI 1144398488 in the public NPI dataset.
Does the file indicate TABITHA BEVERLY (CRNA) is practicing under active NPI?
Directory data currently reports TABITHA BEVERLY (CRNA) as active.
What taxonomy line describes TABITHA BEVERLY (CRNA)?
For research purposes, treat TABITHA BEVERLY (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TABITHA BEVERLY (CRNA) on a map?
Expect Conyers, Georgia as a primary anchor for TABITHA BEVERLY (CRNA) unless the record lists multiple sites.
Is the information about TABITHA BEVERLY (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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