WESTON DAVENPORT (CRNA) – Registered Nurse, NPI 1346847480

WESTON DAVENPORT (CRNA) is a healthcare provider. based in Mineral bluff, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN255176 (GA). The NPI Number for WESTON DAVENPORT (CRNA) is 1346847480

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
WESTON DAVENPORT (CRNA)
NPI
1346847480
Phone
Not provided
Address
87 INDIGO DR
Enumeration Date
1 October 2020
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
4236390941
Graduation Year
2020 (6 years ago)
PAC ID
8325453905
Group Practice PAC ID
9931594942
Professional Enrollment ID
I20210211002054
Address ID
GA305123139BL35XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

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

Provider Addresses for WESTON DAVENPORT (CRNA)

  • 87 INDIGO DR

    MINERAL BLUFF, GA 305593434

    Phone:

    Type: Mailing

  • 35 HOSPITAL RD

    BLAIRSVILLE, GA 305123139

    Phone: (706) 745-2111

    Type: Location

  • 6965 CUMBERLAND GAP PKWY

    HARROGATE, TN 377528245

    Phone: (423) 869-3611

    Type: Location

  • 3104 BLUE LAKE DRIVE

    SUITE 110

    BIRMINGHAM, AL 35243

    Phone: (205) 977-1949

    Fax: (205) 977-1933

    Type: Mailing

  • 1200 MEMORIAL DRIVE

    DALTON, GA 30720

    Phone: (205) 977-1949

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Molnlycke Health Care US, LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

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: 2021-02-11

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
I20210211002054ICertified 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
01170Anesthesia for procedure on pubic bone or pelvic joint1212$0
View full utilization report →

Insurance plans in this area (ZIP 30559)

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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: 9931594942View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What is the 10-digit NPI for WESTON DAVENPORT (CRNA)?
WESTON DAVENPORT (CRNA) — NPI 1346847480 — is the standard way to identify this listing.
Does the file indicate WESTON DAVENPORT (CRNA) is practicing under active NPI?
Directory data currently reports WESTON DAVENPORT (CRNA) as active.
What is WESTON DAVENPORT (CRNA) best known for clinically?
Directory data describes WESTON DAVENPORT (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
What address line appears for WESTON DAVENPORT (CRNA)?
WESTON DAVENPORT (CRNA)'s geographic hint is Mineral Bluff, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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