MRS. SHANA BROOKE BRADLEY RN
NPI 1548866114
Nurse Anesthetist, Certified Registered in Kennesaw, GA

Q: What is Shana Bradley's NPI number?

The NPI number for Shana Bradley is 1548866114. It was assigned to this individual provider in the NPPES registry on December 9, 2020. The provider is also known as Ms. Shana Brooke Evans.

Q: What is Shana Bradley'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 Shana Bradley was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 09, 2020

1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2024, Dec 9, 2020 (2 updates tracked since 2020).

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About Mrs. Shana Brooke Bradley Rn NPPES

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

MRS. SHANA BROOKE BRADLEY RN (NPI 1548866114) is an individual nurse anesthetist, certified registered in Kennesaw, Georgia, licensed in Georgia (RN239256) and active in the NPI registry since December 2020. She is affiliated with Wellstar North Fulton Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548866114

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. SHANA BROOKE BRADLEYCredential: RN

Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402

Mailing Address885 Mable Lake RdCumming, GA 30041-8575 · (770) 597-3247

Phone(770) 702-1806

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 9, 2020

Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1548866114 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

License✔ Licensed in GA · RN239256

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 RN239256 (GA)

1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152

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Other Names 1

Former Name (1)Ms. Shana Brooke Evans

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shana Brooke Bradley Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002224003

PECOS Enrollment IDI20210412001423

Medicare Billing Reassignment

Medicare enrollment records show Shana Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mak Anesthesia Holdings LLC

Same address

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

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

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 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110198

Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton 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.

MELODY C BOLTON RUDI

Anesthesiologist Assistant