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

Dr. Rodderrick Preacher, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1154018703

Dr. Rodderrick Preacher, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Waxhaw, North Carolina. Qualified in 2025, 1 year ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
1
Licensed in
NC, SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2022 Napa Valley Dr
Waxhaw, NC 28173-0319
Phone: (980) 939-9479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 30912 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 8011 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 283158 (NC)

Record details

NPI number1154018703
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 21, 2023
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare