Keandrea Bacon, - Nurse Anesthetist, Certified Registered in Ellenwood, GA

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Keandrea Bacon, is a Nurse Anesthetist, Certified Registered based in Ellenwood, Georgia. Keandrea Bacon is licensed to practice in Georgia (license number CRNA233963) and her current practice location is 120 Whirlaway Dr, Ellenwood, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 444-3887.

NPI number for Keandrea Bacon is 1619712676 and her current mailing address is 120 Whirlaway Dr, Ellenwood, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619712676.

Contact Information

Keandrea Bacon,
120 Whirlaway Dr,
Ellenwood, GA 30294-3259
(404) 444-3887
Not Available

Map and Direction




Provider's Profile

Full NameKeandrea Bacon
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location120 Whirlaway Dr, Ellenwood, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619712676
  • Provider Enumeration Date: 07/01/2024
  • Last Update Date: 09/23/2025

Medical Identifiers

Medical identifiers for Keandrea Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619712676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA233963 (Georgia)Primary
163W00000XRegistered Nurse RN233963 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keandrea Bacon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keandrea Bacon,
120 Whirlaway Dr,
Ellenwood, GA 30294-3259

Ph: (404) 444-3887		Keandrea Bacon,
120 Whirlaway Dr,
Ellenwood, GA 30294-3259

Ph: (404) 444-3887

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ellenwood, GA

Kamica Ross Hatchett, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4238 Ridgetop Dr, Ellenwood, GA 30294
Phone: 404-272-2425    
Dr. Gabriel Salami, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5292 Peachtree Landing Dr, Ellenwood, GA 30294
Phone: 470-875-7731    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.