KEVIN N ROARK CRNA
NPI 1194097113
Nurse Anesthetist, Certified Registered in Macon, GA
About Kevin N Roark Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN N ROARK CRNA (NPI 1194097113) is an individual nurse anesthetist, certified registered in Macon, Georgia, licensed in Georgia (RN160869) and active in the NPI registry since February 2012. He is affiliated with St Mary's Hospital and is a graduate of Mercer University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin N Roark Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Kevin Roark reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 83 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 91 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Watkinsville, GA 30677
- Reassigned Medicare billing, Georgia enrollment
- 29 clinicians in this Medicare group
Athens, GA 30605
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 64 clinicians in this Medicare group
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 111 clinicians in this Medicare group
Alpharetta, GA 30005
- Reassigned Medicare billing, Georgia enrollment
- 82 clinicians in this Medicare group
Alpharetta, GA 30005
- Reassigned Medicare billing, Georgia enrollment
- 91 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 110 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
MACON, GA 31201
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 Kevin Roark's NPI number?
The NPI number for Kevin Roark is 1194097113. It was assigned to this individual provider in the NPPES registry on February 7, 2012.
Where is Kevin Roark located?
Kevin Roark practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-2129.
What is Kevin Roark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kevin Roark enrolled in Medicare?
Yes. Kevin Roark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Roark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Roark reassigns Medicare benefits to 12 organizations: Nmda Anesthesia LLC (Macon, GA), Sweet Dreams Anesthesiology Nurses Of Georgia LLC (Macon, GA), Sentry Anesthesia Management, LLC (Newnan, GA), Oconee River Anesthesia Associates, LLC (Watkinsville, GA), Jnc Anesthesia, LLC (Athens, GA) and 7 more organizations, listed in the Medicare section above. 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 Kevin Roark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kevin Roark affiliated with any hospitals?
According to CMS data, Kevin Roark is affiliated with St Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Roark was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kevin N Roark, CRNA · NPI 1194097113
Nurse Anesthetist, Certified Registered physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since February 7, 2012.
## Identity
- **NPI:** 1194097113 (Entity type: Individual)
- **Enumerated:** February 7, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN160869 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HEMLOCK ST, Macon, GA 31201-2102
- **Phone:** (478) 633-2129
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Nmda Anesthesia LLC (NPI 1306123336, Macon, GA); Sweet Dreams Anesthesiology Nurses Of Georgia LLC (NPI 1669737409, Macon, GA); Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); Oconee River Anesthesia Associates, LLC (NPI 1992325641, Watkinsville, GA); Jnc Anesthesia, LLC (NPI 1316373582, Athens, GA); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 7, 2012
- **Other identifiers:** Other RN160869 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194097113) · Data from the CMS NPPES public registry.