SUWARO GASSAMA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972494805

SUWARO GASSAMA (CRNA) is a healthcare provider. based in Midland, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 968354 (TX). The NPI Number for SUWARO GASSAMA (CRNA) is 1972494805

Main info

Male
Sole Proprietor
1 Year Of Experience
Name
SUWARO GASSAMA (CRNA)
NPI
1972494805
Phone
(502) 821-0379
Address
7338 PINE TAR DR
Enumeration Date
10 July 2025
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
3274012539
Professional Enrollment ID
I20260206001714
Address ID
TX761094839Ft4100XPLZX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:0State licenses:3Digital endpointsOther names

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

Provider Addresses for SUWARO GASSAMA (CRNA)

  • 7338 PINE TAR DR

    MIDLAND, GA 318201103

    Phone: (502) 821-0379

    Type: Mailing

  • 6600 VAN AALST BLVD

    FORT BENNING, GA 319052102

    Phone: (762) 408-2273

    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: 2026-02-06

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
I20260206001714ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31820)

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Reviews

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Frequently asked questions

What federal number belongs to SUWARO GASSAMA (CRNA)?
The federal identifier for SUWARO GASSAMA (CRNA) is NPI 1972494805.
Is SUWARO GASSAMA (CRNA)'s NPI currently valid?
The extract we use shows SUWARO GASSAMA (CRNA) as active.
What field does SUWARO GASSAMA (CRNA) work in?
You can think of SUWARO GASSAMA (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for SUWARO GASSAMA (CRNA)?
The page summarizes Midland, Georgia for SUWARO GASSAMA (CRNA); expand the address list for detail.
How can I contact SUWARO GASSAMA (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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