DEIDRA STALLINGS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700442936

DEIDRA STALLINGS (CRNA) is a healthcare provider. based in Perry, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN264644 (GA). The NPI Number for DEIDRA STALLINGS (CRNA) is 1700442936

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA STALLINGS (CRNA)
NPI
1700442936
Phone
Not provided
Address
309 MERRY WAY
Enumeration Date
13 May 2019
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4783293100
Graduation Year
2023 (3 years ago)
PAC ID
0345602249
Group Practice PAC ID
1052207792
Professional Enrollment ID
I20231114002663
Address ID
GA310933431WA1659XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for DEIDRA STALLINGS (CRNA)

  • 309 MERRY WAY

    PERRY, GA 310698414

    Phone:

    Type: Mailing

  • Baptist Medical Center Jacksonville, 800, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-2000

    Type: Location

  • 2000 PALMYRA RD

    ALBANY, GA 317011528

    Phone: (229) 434-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Glaukos Corporation ($81).

Total Amount

$81

General + Research + Ownership

Payments

2

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$81
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: 2023-11-14

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
I20231114002663ICertified 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
00142Anesthesia for lens surgery1212$0
View full utilization report →

Insurance plans in this area (ZIP 31069)

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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: 1052207792View full group profile
NameSpecialtyState
-AL
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

Can I use this page to confirm DEIDRA STALLINGS (CRNA)'s NPI?
Yes. DEIDRA STALLINGS (CRNA) is listed with NPI 1700442936 in the public NPI dataset.
Does the file indicate DEIDRA STALLINGS (CRNA) is practicing under active NPI?
Directory data currently reports DEIDRA STALLINGS (CRNA) as active.
What taxonomy line describes DEIDRA STALLINGS (CRNA)?
For research purposes, treat DEIDRA STALLINGS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does DEIDRA STALLINGS (CRNA) list a practice location?
Patients near Perry, Georgia may find DEIDRA STALLINGS (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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