BRENT H. SUDDETH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063480457

BRENT H. SUDDETH (CRNA) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN149420 (GA). The NPI Number for BRENT H. SUDDETH (CRNA) is 1063480457

Main info

Male
Name
BRENT H. SUDDETH (CRNA)
NPI
1063480457
Phone
(770) 237-1561
Address
PO BOX 465686
Enumeration Date
10 March 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BRENT H. SUDDETH (CRNA)

  • PO BOX 465686

    LAWRENCEVILLE, GA 300425686

    Phone: (770) 237-1561

    Fax: (770) 237-1124

    Type: Mailing

  • 201, Hospital Road, North Canton, Canton, Cherokee County, Georgia, 30114, United States

    ANESTHESIA DEPT

    CANTON, GA 301142408

    Phone: (404) 851-6500

    Fax: (770) 237-1124

    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: 2004-07-15

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
I20040715000385ICertified 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
00812Anesthesia for exam of colon using an endoscope271271$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope117117$0
00813Anesthesia for procedure on small and large bowel using an endoscope7878$0
00811Anesthesia for other procedure on large bowel using an endoscope6665$0
View full utilization report →

Insurance plans in this area (ZIP 30042)

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Reviews

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Frequently asked questions

Can I use this page to confirm BRENT H. SUDDETH (CRNA)'s NPI?
Yes. BRENT H. SUDDETH (CRNA) is listed with NPI 1063480457 in the public NPI dataset.
Does the file indicate BRENT H. SUDDETH (CRNA) is practicing under active NPI?
Directory data currently reports BRENT H. SUDDETH (CRNA) as active.
What is BRENT H. SUDDETH (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for BRENT H. SUDDETH (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is BRENT H. SUDDETH (CRNA) based?
BRENT H. SUDDETH (CRNA) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
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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