LEE PRENTIS OWEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1427321967

LEE PRENTIS OWEN (CRNA) is a healthcare provider. based in Clarkesville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN192084 (GA). The NPI Number for LEE PRENTIS OWEN (CRNA) is 1427321967

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
LEE PRENTIS OWEN (CRNA)
NPI
1427321967
Phone
(706) 754-4821
Address
200 BLUE JAY RD
Enumeration Date
14 February 2012
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6783121000
Graduation Year
2011 (15 years ago)
PAC ID
1052570389
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20120306000912
Address ID
GA300467694LA1000XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

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

Provider Addresses for LEE PRENTIS OWEN (CRNA)

  • 200 BLUE JAY RD

    CLARKESVILLE, GA 305233112

    Phone: (706) 754-4821

    Type: Mailing

  • 541 HISTORIC HWY 441 N

    DEMOREST, GA 30535

    Phone: (706) 839-6205

    Fax: (706) 754-9668

    Type: Location

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone:

    Type: Mailing

  • 541 Historic Hwy 441 N

    Demorest, GA 30535

    Phone: (706) 839-6205

    Fax: (706) 754-9668

    Type: Location

  • 7 INDEPENDENCE PT STE 300

    GREENVILLE, SC 296154569

    Phone: (864) 522-3700

    Fax: (864) 522-3705

    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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$24
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: 2017-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120306000912ICertified Registered Nurse Anesthetist (Crna)GATBD
I20170418000572ICertified Registered Nurse Anesthetist (Crna)SCTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4343$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
01402Anesthesia for procedure for total knee joint replacement2121$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 30523)

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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: 5496134348View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

Does LEE PRENTIS OWEN (CRNA) have a public NPI I can cite?
Public records show LEE PRENTIS OWEN (CRNA) under NPI 1427321967.
Is LEE PRENTIS OWEN (CRNA)'s NPI status active today?
Active status means LEE PRENTIS OWEN (CRNA)'s NPI record is not deactivated in the public file.
What services align with LEE PRENTIS OWEN (CRNA)'s listing?
LEE PRENTIS OWEN (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LEE PRENTIS OWEN (CRNA)?
LEE PRENTIS OWEN (CRNA) is associated with Clarkesville, Georgia in the same public data insurers reference.
Can I export LEE PRENTIS OWEN (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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