SUSAN L BRADDY CRNA
NPI 1205902699
Nurse Anesthetist, Certified Registered in Lagrange, GA

Q: What is Susan Braddy's NPI number?

The NPI number for Susan Braddy is 1205902699. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Susan Braddy'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 Susan Braddy was last updated on May 16, 2014. 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 28, 2006

1514 VERNON RD, LAGRANGE, GA 30240(706) 882-1411(706) 845-3459 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan L Braddy Crna NPPES

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

SUSAN L BRADDY CRNA (NPI 1205902699) is an individual nurse anesthetist, certified registered in Lagrange, Georgia, licensed in Georgia (RN051080) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205902699

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSUSAN L BRADDYCredential: CRNA

Location Address1514 VERNON RDLagrange, GA 30240-4131

Mailing AddressPmb 195, 3150 East Highway 34Newnan, GA 30265-2122 · (770) 251-2060 · Fax (678) 854-9235

Phone(706) 882-1411

Fax(706) 845-3459

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateMay 16, 2014

✔ NPI 1205902699 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 · RN051080

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.

1514 VERNON RD, Lagrange, GA 30240

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Other Identifiers 2

Medicare UPINR79966

Medicare PIN43ZCBTX153

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.

DR. MICHELE MARIE BALLISTER DNP APRN CRNA CHSE

Nurse Anesthetist, Certified Registered