ALICIA LARAE DOLES CRNA
NPI 1649602764
Nurse Anesthetist, Certified Registered in Marietta, GA

Active since July 31, 2013
92.93/100
CMS Quality Rating
677 CHURCH ST NE, MARIETTA, GA 30060(770) 794-0477(770) 794-3108 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia Larae Doles Crna NPPES

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

ALICIA LARAE DOLES CRNA (NPI 1649602764) is an individual nurse anesthetist, certified registered in Marietta, Georgia, licensed in Georgia (RN188393) and active in the NPI registry since July 2013. She is affiliated with Wellstar Kennestone Regional Medical Center, maintains 4 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649602764
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA LARAE DOLESCredential: CRNA
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address405 Arrowhead BlvdJonesboro, GA 30236-1254 · (770) 478-9877
Fax(770) 794-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 31, 2013
Last NPPES UpdateAugust 29, 2019
✔ NPI 1649602764 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 · RN188393
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.
677 CHURCH ST NE, Marietta, GA 30060

Secondary Practice Locations 4

Location 12540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 2405 Arrowhead Blvd, Suite CJonesboro, GA 30236-1254 · Phone (770) 478-9877
Location 3146 Bill Carruth PkwyHiram, GA 30141-3749 · Phone (770) 794-0477 · Fax (770) 794-3108
Location 48954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 794-0477 · Fax (770) 794-3108

Accepted 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 Larae Doles Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527292341
PECOS Enrollment IDI20131010001420

Medicare Billing Reassignments

7

Medicare enrollment records show Alicia Doles reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
677 CHURCH ST NE
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
Anesthesiology
1505 STONEBRIDGE PKWY, SUITE 200
Woodstock, GA 30189
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Georgia Anesthesiologists, P.C.
  • 131 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Georgia enrollment
  • 386 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.

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

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060

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 Doles's NPI number?

The NPI number for Alicia Doles is 1649602764. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Alicia Doles located?

Alicia Doles practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 794-0477.

What is Alicia Doles's specialty?

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

Is Alicia Doles enrolled in Medicare?

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

Which organizations bill Medicare for Alicia Doles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Doles reassigns Medicare benefits to 7 organizations: Wellstar Medical Group, LLC (Marietta, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), Georgia Anesthesiologists, PC (Woodstock, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Gastroenterology Anesthesia Associates, LLC (Gainesville, GA) and 2 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 Alicia Doles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Doles accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Alicia Doles 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 Doles affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Alicia Doles was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.