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

Mr. Ron Shannon Walters

Individual provider Certified Registered Nurse Anesthetist · NPI 1669141172

Mr. Ron Shannon Walters is a Certified Registered Nurse Anesthetist (CRNA) in Griffin, Georgia. Qualified in 2021, 5 years ago. Practices with Sentry Anesthesia Management, LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

601 S 8th St
Griffin, GA 30224-4213
Phone: (770) 228-2721
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 RN223340 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 223340 (GA)

Record details

NPI number1669141172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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 Sentry Anesthesia Management, Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Griffin