1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

ALICIA M CRADDOCK CRNA
NPI 1124283999
Nurse Anesthetist, Certified Registered in Marietta, GA

Active since July 22, 2008
2540 WINDY HILL RD SE, MARIETTA, GA 30067(770) 644-1274 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia M Craddock Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA M CRADDOCK CRNA (NPI 1124283999) is an individual nurse anesthetist, certified registered in Marietta, Georgia, licensed in Georgia (RN168147) and active in the NPI registry since July 2008. She is affiliated with Wellstar Kennestone Regional Medical Center, maintains a secondary practice location in Chattanooga, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124283999
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA M CRADDOCKCredential: CRNA
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (770) 644-1274 · Fax (423) 892-5838
Phone(770) 644-1274
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 22, 2008
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1124283999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in GA · RN168147✔ Licensed in TN · APN0000013603
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN168147 (GA), RN0000154198 (TN)
2540 WINDY HILL RD SE, Marietta, GA 30067
Open in Google Maps ↗

Other Names 1

Former Name (1)Alicia M Roberts

Secondary Practice Location 1

Location 1975 E THIRD STREETCHATTANOOGA, TN 37403-2147 · Phone (423) 778-7608 · Fax (423) 778-2360

Other Identifiers 7

Medicaid108083AL
OtherP00770314TN · Railroad Medicare
Other4157214TN · Blue Cross Blue Shield Tn
OtherN480408GA · Wellcare (ga Medicaid)
Medicaid8053486NC
Medicaid1510651TN
Medicaid662969153AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia M Craddock Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618037847
PECOS Enrollment IDI20150713003135

Medicare Billing Reassignments

4

Medicare enrollment records show Alicia Craddock reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
0.2 mi
Psychiatry
2540 WINDY HILL RD SE
Marietta, GA 30067
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1629361605 (770) 644-1570
Cpm Surgery Center LLC
7.7 mi
Ambulatory Surgical
3870 MEDICAL PARK DR, SUITE 100
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mulkey Anesthesiology Associates, PC
  • 112 clinicians in this Medicare group
NPI 1376716316 (770) 948-6824
Mak Anesthesia Holdings LLC
9.0 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806
Tmc-West Georgia Anesthesia Associates Inc.
41 mi
Anesthesiology
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 121 clinicians in this Medicare group
NPI 1740252022 (334) 279-1450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for nerve block and injection procedure, prone position 01992
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
20 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAZIM ALI SYED MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 732-4022
SHARI STOKES M.D.
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
DR. NILAY NIRDOSH MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1000
MARIO TORRES-NIEVES
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
SHAWN MICHAEL KADE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
ROBERT J DELPOZO M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
DR. KRISTY HENDRICKS JACKSON M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
IFFAT BHUIYAN MD
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Craddock's NPI number?

The NPI number for Alicia Craddock is 1124283999. It was assigned to this individual provider in the NPPES registry on July 22, 2008. The provider is also known as Alicia M Roberts.

Where is Alicia Craddock located?

Alicia Craddock practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (770) 644-1274.

What is Alicia Craddock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alicia Craddock enrolled in Medicare?

Yes. Alicia Craddock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alicia Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Craddock reassigns Medicare benefits to 4 organizations: Wellstar Medical Group, LLC (Marietta, GA), Cpm Surgery Center LLC (Austell, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA) and Tmc-West Georgia Anesthesia Associates Inc. (Carrollton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Craddock accept?

Health plans from Oscar Health list Alicia Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alicia Craddock affiliated with any hospitals?

According to CMS data, Alicia Craddock is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Alicia Craddock was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.