TREVOR WEATHERSBY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174146187

TREVOR WEATHERSBY (CRNA) is a healthcare provider. based in Statesboro, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN222507 (GA). The NPI Number for TREVOR WEATHERSBY (CRNA) is 1174146187

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR WEATHERSBY (CRNA)
NPI
1174146187
Phone
(912) 486-1000
Address
1499 FAIR RD
Enumeration Date
26 May 2020
Last Update Date
26 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064817000
Graduation Year
2020 (6 years ago)
PAC ID
2769801166
Group Practice PAC ID
3870880792
Professional Enrollment ID
I20201005001847
Address ID
GA309044764AU2260XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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

Provider Addresses for TREVOR WEATHERSBY (CRNA)

  • 1499 FAIR RD

    STATESBORO, GA 304581683

    Phone: (912) 486-1000

    Type: Location

  • 604 EMIT DEAL RD

    STATESBORO, GA 304588680

    Phone: (478) 494-4127

    Type: Mailing

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: 2020-10-05

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
I20201005001847ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope4646$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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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: 3870880792View full group profile
NameSpecialtyState
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
-GA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What federal number belongs to TREVOR WEATHERSBY (CRNA)?
The federal identifier for TREVOR WEATHERSBY (CRNA) is NPI 1174146187.
Does this profile mean TREVOR WEATHERSBY (CRNA) is currently active?
Yes — TREVOR WEATHERSBY (CRNA) appears active in the national provider directory.
What kind of provider is TREVOR WEATHERSBY (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for TREVOR WEATHERSBY (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for TREVOR WEATHERSBY (CRNA)?
We surface Statesboro, Georgia for TREVOR WEATHERSBY (CRNA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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