STACY HARRISON BRADFIELD (SRNA) – Certified Registered Nurse Anesthetist, NPI 1174829386

STACY HARRISON BRADFIELD (SRNA) is a healthcare provider. based in Atlanta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials SRNA. They hold a License No. R109902 (SC). The NPI Number for STACY HARRISON BRADFIELD (SRNA) is 1174829386

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
STACY HARRISON BRADFIELD (SRNA)
NPI
1174829386
Phone
(404) 920-4950
Address
3390 PEACHTREE RD NE
Enumeration Date
4 February 2011
Last Update Date
14 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047852000
Graduation Year
2011 (15 years ago)
PAC ID
5597939512
Group Practice PAC ID
4688812498
Professional Enrollment ID
I20120830000814
Address ID
GA300221060AT1405XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:15State licenses:3Digital endpointsOther names

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

Provider Addresses for STACY HARRISON BRADFIELD (SRNA)

  • 3390 PEACHTREE RD NE

    STE 1500

    ATLANTA, GA 303261157

    Phone: (404) 920-4950

    Type: Mailing

  • 3870 MEDICAL PARK DR

    STE 110

    AUSTELL, GA 301061110

    Phone: (770) 948-6824

    Type: Location

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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Boston Scientific Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-08-30

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
I20120830000814ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30326)

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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: 4688812498View full group profile
NameSpecialtyState
Critical Care (Intensivists)GA
Pediatric MedicinePA
Anesthesiology AssistantCO
-GA
-GA
A N E S T H E S I O L O G YMI
P A T H O L O G YGA
Critical Care (Intensivists)GA
A N E S T H E S I O L O G YCA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACY HARRISON BRADFIELD (SRNA)?
STACY HARRISON BRADFIELD (SRNA) — NPI 1174829386 — is the standard way to identify this listing.
Is STACY HARRISON BRADFIELD (SRNA) listed as active for patients and plans?
The listing shows STACY HARRISON BRADFIELD (SRNA) as active in the NPI system.
What healthcare role does STACY HARRISON BRADFIELD (SRNA) hold?
Scheduling teams often label STACY HARRISON BRADFIELD (SRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does STACY HARRISON BRADFIELD (SRNA) list a practice location?
Patients near Atlanta, Georgia may find STACY HARRISON BRADFIELD (SRNA) in results; validate coverage separately.
Is the information about STACY HARRISON BRADFIELD (SRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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