KATHERINE T KELLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770981086
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 KATHERINE T KELLEY (CRNA)
1500 E Shotwell St
Bainbridge, GA 398194256
Phone: (334) 279-1450
Fax: (334) 395-4110
Type: Location
1155 5TH ST SE
CAIRO, GA 398283142
Phone: (229) 377-1150
Type: Location
1500 E SHOTWELL ST
BAINBRIDGE, GA 398194256
Phone: (334) 279-1450
Fax: (334) 395-4110
Type: Location
PO BOX 235019
MONTGOMERY, AL 361235019
Phone: (334) 279-1450
Fax: (334) 395-4110
Type: Mailing
3700 OLD WHIGHAM RD
CLIMAX, GA 398342609
Phone: (229) 220-3236
Type: Mailing
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: 2021-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150401000787 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20211203000338 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 28 | 28 | $0 |
Insurance plans in this area (ZIP 39819)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | GA | 00142 | Anesthesia for lens surgery | 117 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| - | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| - | GA | |
| O P H T H A L M O L O G Y | GA |
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