Provider Profile

Keandrea Bacon

Unclaimed Profile

About Keandrea Bacon

Keandrea Bacon is a certified registered nurse anesthetist practicing in Ellenwood, GA. Keandrea is also listed as specializing in registered nurse.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Certified Registered Nurse Anesthetist (Primary)
Registered Nurse (Additional)

Credentials & Licensing

GA licenseCRNA233963
GA licenseRN233963
NPI1619712676
NPI issued07/01/2024

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

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. Guide.md cannot book appointments or pass on messages — please call the office directly.

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

How long has Keandrea Bacon been practicing?

Keandrea Bacon has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

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.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.