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

Kellie Duckworth, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1730546391

Kellie Duckworth, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 5 locations. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
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

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Show map & directions

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

Additional practice locations (4)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 — (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 RN207654 (GA)

Record details

NPI number1730546391
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 26, 2016
Last updated in NPPESAugust 28, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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