Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1942292453

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Newnan, Georgia. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN094535-CRNA (GA). The NPI Number for Unknown Individual is 1942292453

Main info

Organization

Inactive

31 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1942292453

Phone

(770) 251-2060

Address

PO BOX 73709

Deactivation Date

7 June 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9123699400

Graduation Year

1995 (31 years ago)

PAC ID

4880740802

Group Practice PAC ID

5799772190

Professional Enrollment ID

I20160912002340

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

PO BOX 73709
NEWNAN, GA 302713709
Phone: (770) 251-2060
Fax: (678) 854-9235
Type: Mailing
Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
FORT STEWART, GA 313145641
Phone: (912) 435-6785
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30271)

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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: 5799772190View full group profile

Name	Specialty	State
DR. CHRISTINA B MCCAIN (M.D.)	General Surgery	GA
WENDY ELIZABETH LEWIS (NP)	Nurse Practitioner	GA
MS. MARTHA B. KITCHINGS (FNP)	-	GA
PAIGE ALEXANDRA YEOMANS (PA-C)	Physician Assistant	GA
THOMAS RICHARD CRUTCHFIELD (FNP-C)	Nurse Practitioner	GA
DR. CALIN G BADEA (M.D.)	Internal Medicine	GA
DR. SETH A BORQUAYE (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	GA
TIFFANY TORRES-GRAHAM (FNP)	Nurse Practitioner	GA
CARLEIGH GRINER (FNP-C)	Nurse Practitioner	GA
SHANNON HATMAKER (APRN)	Nurse Practitioner	TN

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?

Save NPI 1942292453 if you need a stable reference for Unknown Individual.

How do I interpret inactive records for Unknown Individual?

Treat inactive as a signal to verify Unknown Individual through official channels.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Newnan, Georgia because that is what the record indicates for Unknown Individual.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.