DAVID DEROSSO CRNA
NPI 1194897710
Nurse Anesthetist, Certified Registered in Statesboro, GA

Q: What is David Derosso's NPI number?

The NPI number for David Derosso is 1194897710. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is David Derosso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Derosso was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 15, 2006Accepts Medicare Assignment

1499 FAIR RD, STATESBORO, GA 30458(704) 662-5544 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About David Derosso Crna NPPES

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

DAVID DEROSSO CRNA (NPI 1194897710) is an individual nurse anesthetist, certified registered in Statesboro, Georgia, licensed in Georgia (RN135847) and active in the NPI registry since November 2006. He is affiliated with East Georgia Regional Medical Center and is a graduate of Other (2001).

NPPES Registry Identity

NPI1194897710

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDAVID DEROSSOCredential: CRNA

Location Address1499 FAIR RDStatesboro, GA 30458-1683

Mailing Address598 3rd StMacon, GA 31201-3357 · (478) 633-6706 · Fax (478) 633-5384

Phone(704) 662-5544

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 15, 2006

Last NPPES UpdateDecember 19, 2013

✔ NPI 1194897710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in GA · RN135847

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.

1499 FAIR RD, Statesboro, GA 30458

Open in Google Maps ↗

Other Identifiers 6

Medicare UPINP46686GA

Medicaid000932236BGA

Other344303GA · Wellcare

OtherP00115347GA · Railroad Medicare

Medicare ID-Type Unspecified43ZCBFB186FL

Other000932236BGA · Peachstate

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Derosso 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.

PECOS PAC ID5991693566

PECOS Enrollment IDI20040305000576

Areas of Expertise CMS Part B claims 5

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

29 services29 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

21 services21 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

18 services18 patients

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.

16 services16 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110075

Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CATHERINE A LANDRY-ARSENEAULT CRNA

Nurse Anesthetist, Certified Registered

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1973

EAST GEORGIA RADIOLOGY LLC

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1339

ALPHA IMAGING, INC.

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1000

NGOC NU BANH FNP-BC

Nurse Practitioner (Family)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (800) 301-6254

GEORGIA ANESTHESIA AND PAIN MANAGMENT

Anesthesiology

1499 FAIR RD, SUITE 101
STATESBORO, GA 30458

Bulloch County (912) 486-1121

DWAYNE THOMAS GARD MD

Hospitalist

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1433

IJEOMA JACINTA NNANABU MD

Hospitalist

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1431

DR. COLIN A. DODDS M.D

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1633

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 David Derosso's NPI number?

The NPI number for David Derosso is 1194897710. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is David Derosso located?

David Derosso practices at 1499 Fair Rd, Statesboro, GA 30458. The listed phone number is (704) 662-5544.

What is David Derosso's specialty?

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

Is David Derosso enrolled in Medicare?

Yes. David Derosso 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.

Is David Derosso affiliated with any hospitals?

According to CMS data, David Derosso is affiliated with East Georgia Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Derosso was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.