VERONICA CHAMBLISS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194790907

Certified Registered Nurse Anesthetist

VERONICA CHAMBLISS (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. 061139 (GA). The NPI Number for VERONICA CHAMBLISS (CRNA) is 1194790907

Main info

Female

Sole Proprietor

41 Years Of Experience

Accepts Medicare Assignment

Name

VERONICA CHAMBLISS (CRNA)

NPI

1194790907

Phone

(770) 388-7745

Address

1388B WELLBROOK CIR NE

Enumeration Date

23 February 2006

Last Update Date

12 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4047286812

Graduation Year

1985 (41 years ago)

PAC ID

6204846876

Group Practice PAC ID

3476559782

Professional Enrollment ID

I20060426000684

Address ID

GA303294021AT1821XNEXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Digital endpointsOther names

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

Provider Addresses for VERONICA CHAMBLISS (CRNA)

Wellbrook Circle Northeast, Conyers, Rockdale County, Georgia, 30012, United States
CONYERS, GA 300123872
Phone: (770) 388-7745
Fax: (770) 922-0526
Type: Mailing
1412 MILSTEAD AVE NE
CONYERS, GA 300123877
Phone: (770) 388-7745
Fax: (770) 922-0526
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: 2006-04-26

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

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
I20060426000684	I	Certified Registered Nurse Anesthetist (Crna)	GA	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.

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

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: 3476559782View full group profile

Name	Specialty	State
TODD W YOST (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
ASHLEY ANN LOUNDS	Certified Registered Nurse Anesthetist (Crna)	GA
KEVWE ERUSIAFE	Anesthesiology Assistant	GA
REGINA GREENFIELD (CRNA)	Certified Registered Nurse Anesthetist (Crna)	GA
JEAN GUSTAVE SHOUMOU (MD)	Internal Medicine, Infectious Disease	GA
ROBERT AMBROSE MARTIN (MD)	-	GA
DONALD MACNEILL (PAAA)	-	GA
BEVERLY O'BRYAN CARTWRIGHT (P.A.)	Physician Assistant	GA
RON I MCDANIEL (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
DR. SARA C SHULER (MD)	N E U R O L O G Y	GA

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Frequently asked questions

Does VERONICA CHAMBLISS (CRNA) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — VERONICA CHAMBLISS (CRNA) uses 1194790907.

Can I rely on VERONICA CHAMBLISS (CRNA) being an active provider?

As of the registry snapshot, VERONICA CHAMBLISS (CRNA) is marked active.

What taxonomy line describes VERONICA CHAMBLISS (CRNA)?

For research purposes, treat VERONICA CHAMBLISS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for VERONICA CHAMBLISS (CRNA)?

VERONICA CHAMBLISS (CRNA)'s geographic hint is Conyers, Georgia in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.