WARREN STEPHEN SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376748509

WARREN STEPHEN SMITH (CRNA) is a healthcare provider. based in Tifton, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1053835 (GA). The NPI Number for WARREN STEPHEN SMITH (CRNA) is 1376748509

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
WARREN STEPHEN SMITH (CRNA)
NPI
1376748509
Phone
(229) 353-3347
Address
901 18TH ST E
Enumeration Date
18 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123841900
Graduation Year
2006 (20 years ago)
PAC ID
2769582923
Group Practice PAC ID
4587656012
Professional Enrollment ID
I20070717000515
Address ID
GA315332207DO1101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

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Provider Addresses for WARREN STEPHEN SMITH (CRNA)

  • 901, 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317943648

    Phone: (229) 353-3347

    Fax: (229) 353-7722

    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: 2007-07-17

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
I20070717000515ICertified 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 31794)

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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: 4587656012View full group profile
NameSpecialtyState
Internal MedicineGA
P A T H O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal MedicineGA
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineGA
Cardiovascular Disease (Cardiology), Nuclear MedicineGA
Emergency Medicine, Family PracticeAZ

Reviews

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Frequently asked questions

How do payers reference WARREN STEPHEN SMITH (CRNA)?
For WARREN STEPHEN SMITH (CRNA), use NPI 1376748509 as the unique 10-digit identifier.
Would WARREN STEPHEN SMITH (CRNA) appear as active to a payer?
You can treat WARREN STEPHEN SMITH (CRNA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe WARREN STEPHEN SMITH (CRNA)'s focus?
For WARREN STEPHEN SMITH (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with WARREN STEPHEN SMITH (CRNA)?
Directory geography for WARREN STEPHEN SMITH (CRNA) centers on Tifton, Georgia.
When was this NPI issued?
Enumeration for WARREN STEPHEN SMITH (CRNA) is noted as June 18, 2007 where the registry provides it.

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