BRANDON S REDDOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376816363

BRANDON S REDDOCK (CRNA) is a healthcare provider. based in Turnerville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN192417 (GA). The NPI Number for BRANDON S REDDOCK (CRNA) is 1376816363

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON S REDDOCK (CRNA)
NPI
1376816363
Phone
(706) 839-6205
Address
PO BOX 369
Enumeration Date
22 February 2012
Last Update Date
22 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783448900
Graduation Year
2012 (14 years ago)
PAC ID
7517127103
Group Practice PAC ID
8729218417
Professional Enrollment ID
I20120319000410
Address ID
GA300785686SN1557XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

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

Provider Addresses for BRANDON S REDDOCK (CRNA)

  • PO BOX 369

    TURNERVILLE, GA 305800369

    Phone: (706) 839-6205

    Fax: (706) 754-9668

    Type: Mailing

  • 541 HISTORIC HWY 441 N

    DEMOREST, GA 30535

    Phone: (706) 839-6205

    Fax: (706) 754-9668

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: Teleflex LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$16
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: 2012-03-19

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
I20120319000410ICertified 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
00910Anesthesia for other procedure on urinary system through urethra101100$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back5246$0
00902Anesthesia for procedure on anus and rectum2322$0
00860Anesthesia for other procedure on lower abdomen outside abdominal cavity1717$0
00873Anesthesia for shock wave therapy for urinary system stones without water bath1413$0
View full utilization report →

Insurance plans in this area (ZIP 30580)

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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: 8729218417View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What NPI should I save for BRANDON S REDDOCK (CRNA)?
Save NPI 1376816363 if you need a stable reference for BRANDON S REDDOCK (CRNA).
Does this profile mean BRANDON S REDDOCK (CRNA) is currently active?
Yes — BRANDON S REDDOCK (CRNA) appears active in the national provider directory.
Can you summarize BRANDON S REDDOCK (CRNA)'s specialty in plain language?
Clinically, the directory lists BRANDON S REDDOCK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is BRANDON S REDDOCK (CRNA)'s primary listing?
We display Turnerville, Georgia because that is what the record indicates for BRANDON S REDDOCK (CRNA).
What if Turnerville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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