Keandrea Bacon
NPI 1619712676 · Certified Registered Nurse Anesthetist · Ellenwood, GA
Keandrea Bacon is a Certified Registered Nurse Anesthetist provider in Ellenwood, GA (NPI 1619712676).
Provider details
- NPI number
- 1619712676
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- CRNA233963 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Keandrea Bacon's NPI number?
- Keandrea Bacon's National Provider Identifier (NPI) is 1619712676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keandrea Bacon's specialty?
- Keandrea Bacon is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keandrea Bacon located?
- Keandrea Bacon's practice location on file with NPPES is 120 Whirlaway Dr, Ellenwood, GA 30294-3259.
- What is Keandrea Bacon's phone number?
- The practice phone number listed in the NPPES registry for Keandrea Bacon is (404) 444-3887.
- Is Keandrea Bacon's NPI active?
- Yes — Keandrea Bacon's NPI (1619712676) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.