MARLEAH EVETTE RIVERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508066903

MARLEAH EVETTE RIVERS (CRNA) is a healthcare provider. based in Conyers, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN158259 (GA). The NPI Number for MARLEAH EVETTE RIVERS (CRNA) is 1508066903

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARLEAH EVETTE RIVERS (CRNA)
NPI
1508066903
Phone
(248) 396-9628
Address
3709 GRAND PRIX DR
Enumeration Date
23 July 2007
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9199543965
Graduation Year
2021 (5 years ago)
PAC ID
6800986316
Group Practice PAC ID
2567372345
Professional Enrollment ID
I20250730000366
Address ID
NC276097317RA3400XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:18State licenses:3Digital endpointsOther names

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

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Provider Addresses for MARLEAH EVETTE RIVERS (CRNA)

  • 3709 GRAND PRIX DR

    CONYERS, GA 300131480

    Phone: (248) 396-9628

    Type: Mailing

  • Atlanta VA Medical Center, 1670, Clairmont Road, North Decatur, DeKalb County, Georgia, 30033, United States

    DECATUR, GA 300334004

    Phone: (404) 329-6111

    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: 2025-07-30

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
I20250730000366ICertified Registered Nurse Anesthetist (Crna)NCTBD

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 30013)

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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: 2567372345View full group profile
NameSpecialtyState
Physician AssistantNC
-NC
Family PracticeCO
-NC
Nurse PractitionerNC
Certified Registered Nurse Anesthetist (Crna)NC
Physical Therapist In Private PracticeNC
Physician AssistantNC
-NC
Hospitalist, Internal MedicineMA

Reviews

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Frequently asked questions

What number should I use to identify MARLEAH EVETTE RIVERS (CRNA) for billing?
Administrative and clinical systems typically use NPI 1508066903 for MARLEAH EVETTE RIVERS (CRNA).
Quick check: is MARLEAH EVETTE RIVERS (CRNA) active?
Public NPPES data shows MARLEAH EVETTE RIVERS (CRNA) with an active NPI status right now.
How should patients interpret MARLEAH EVETTE RIVERS (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MARLEAH EVETTE RIVERS (CRNA). Clinical services aligned with this taxonomy classification.
What city is tied to MARLEAH EVETTE RIVERS (CRNA)?
The directory associates MARLEAH EVETTE RIVERS (CRNA) with Conyers, Georgia. Check all listed addresses for suites or satellite offices.
Can I export MARLEAH EVETTE RIVERS (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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