Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Crystal Lenay Mack, CRNA

Individual provider Registered Nurse · NPI 1386216935

Dr. Crystal Lenay Mack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Georgia. Qualified in 2021, 5 years ago. Practices with Premier Anesthesia of Georgia LLC, a 62-clinician group and works from 4 locations. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 794-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (770) 794-0477

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN258368 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN258358 (GA)

Record details

NPI number1386216935
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premier Anesthesia Of Georgia Llc — 62 clinicians
Accepts Medicare assignment Not indicated

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