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

Shannon Lacey Staten, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1437421773

Shannon Lacey Staten, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Vidalia, Georgia. Qualified in 2011, 15 years ago. Practices with SE Georgia Anesthesia, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2012
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

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 538-5537
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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 RN188967 (GA)

Record details

NPI number1437421773
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 2, 2012
Last updated in NPPESAugust 27, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Se Georgia Anesthesia, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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