Keandrea Bacon
Keandrea Bacon is a Certified Registered Nurse Anesthetist (CRNA) in Ellenwood, Georgia. Qualified in 2025, 1 year ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 1
- Licensed in
- GA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
120 Whirlaway DrEllenwood, GA 30294-3259
Phone: (404) 444-3887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence CRNA233963 (GA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN233963 (GA) |
Record details
| NPI number | 1619712676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2024 |
| Last updated in NPPES | September 23, 2025 |
| Certification date | September 23, 2025 |
| Mailing address | 120 Whirlaway Dr, Ellenwood, GA 30294-3259 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Grady Memorial Hospital Corporation — 363 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ellenwood
-
Kamica Ross Hatchett, CRNA
4238 Ridgetop Dr, Ellenwood, GA 30294-1908 · (404) 272-2425