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Provider Profile

Keandrea Bacon

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At a glance

About Keandrea Bacon

Keandrea Bacon is a certified registered nurse anesthetist practicing in Ellenwood, GA. Keandrea is also listed as specializing in registered nurse. This provider record is associated with NPI 1619712676.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. CRNA233963As reported
NPINational Provider Identifier
1619712676Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Keandrea Bacon specialize in?

Keandrea Bacon is a certified registered nurse anesthetist in Ellenwood, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Keandrea Bacon located?

Keandrea Bacon is listed at 120 Whirlaway Dr, Ellenwood, GA 30294. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Keandrea Bacon's phone number?

The number on file is (404) 444-3887. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Keandrea Bacon's NPI number?

Keandrea Bacon's National Provider Identifier is 1619712676. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Keandrea Bacon train?

Keandrea Bacon attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Keandrea Bacon been practicing?

Keandrea Bacon has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Keandrea Bacon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Keandrea Bacon. If this is you, claiming it is free.

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