DOROTHY LYNN BLOODWORTH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407809809
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA
Provider Addresses for DOROTHY LYNN BLOODWORTH (CRNA)
1020 Latham Dr
Watkinsville, GA 306772088
Phone: (706) 296-3668
Type: Location
PO BOX 23321
NEW YORK, NY 100873321
Phone:
Type: Mailing
1020 LATHAM DR
WATKINSVILLE, GA 306772088
Phone: (706) 296-3668
Type: Location
805 PAMPLICO HWY
FLORENCE, SC 295056047
Phone: (843) 674-5000
Type: Location
Athens Post Office, 575, Olympic Drive, Spring Valley Estates, Athens, Clarke County, Georgia, 30601, United States
ATHENS, GA 306047337
Phone: (706) 543-3449
Type: Mailing
Athens Regional Medical Center, 1199, Prince Avenue, Normaltown, Athens, Athens-Clarke County, Georgia, 30606, United States
ATHENS, GA 306062797
Phone: (706) 543-3449
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: 2022-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20090326000141 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20201215002368 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20220222000881 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
| I20220725002066 | I | Certified Registered Nurse Anesthetist (Crna) | OK | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 26 | $0 |
| 00520 | Anesthesia for other closed procedure on chest | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| Gastroenterology, Anesthesiology | MS | |
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA |
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