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

Kirk Robert Shelley Jr., CRNA

Individual provider Registered Nurse · NPI 1063986776

Kirk Robert Shelley Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Savannah, Georgia. Qualified in 2016, 10 years ago. Practices with SE Georgia Anesthesia, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2019
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

4700 Waters Ave
Savannah, GA 31404-6220
Phone: (912) 350-8000
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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 RN282650 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN282650 (GA)

Record details

NPI number1063986776
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Se Georgia Anesthesia, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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