KELLIE DUCKWORTH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730546391
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA
Provider Addresses for KELLIE DUCKWORTH (CRNA)
531 Roselane St NW Ste 830
Marietta, GA 300606979
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
146 Bill Carruth Pkwy
Hiram, GA 301413749
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
8954 Hospital Dr
Douglasville, GA 301342272
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
2540 Windy Hill Rd SE
Marietta, GA 300678605
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
1825 HICKORY CREEK CT NW
ACWORTH, GA 301026416
Phone: (770) 823-2157
Type: Mailing
677, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($132).
Total Amount
$256
General + Research + Ownership
Payments
10
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $132 |
| Medtronic, Inc. | $62 |
| Chiesi USA, Inc. | $26 |
| EAGLE PHARMACEUTICALS, INC. | $18 |
| Merck Sharp & Dohme LLC | $17 |
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: 2016-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160701000096 | I | Certified Registered Nurse Anesthetist (Crna) | GA | 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 |
|---|---|---|---|---|
| 00560 | Anesthesia for procedure on heart and large blood vessels | 17 | 17 | $0 |
| 00567 | Anesthesia for heart artery bypass grafting on heart-lung machine | 11 | 11 | $0 |
| 01926 | Anesthesia for x-ray on artery of brain, heart, or chest | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30060)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.