KELLIE DUCKWORTH CRNA
NPI 1730546391
Nurse Anesthetist, Certified Registered in Marietta, GA

Q: What is Kellie Duckworth's NPI number?

The NPI number for Kellie Duckworth is 1730546391. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Q: What is Kellie Duckworth'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 Kellie Duckworth was last updated on August 28, 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.

Active since January 26, 2016

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 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2019, Mar 17, 2018, Jul 26, 2017 and 2 more (5 updates tracked since 2016).

On this page

About Kellie Duckworth Crna NPPES

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

KELLIE DUCKWORTH CRNA (NPI 1730546391) is an individual nurse anesthetist, certified registered in Marietta, Georgia, licensed in Georgia (RN207654) and active in the NPI registry since January 2016. She is affiliated with Wellstar Kennestone Regional Medical Center, maintains 4 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730546391

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLIE DUCKWORTHCredential: CRNA

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address1825 Hickory Creek Ct NwAcworth, GA 30102-6416 · (770) 823-2157

Phone(770) 794-0477

Fax(770) 794-3108

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 26, 2016

Last NPPES UpdateAugust 28, 20195 updates tracked since enumeration

✔ NPI 1730546391 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 · RN207654

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

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Secondary Practice Locations 4

Location 1531 Roselane St NW Ste 830Marietta, GA 30060-6979 · Phone (770) 794-0477 · Fax (770) 794-3108

Location 22540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 794-0477 · Fax (770) 794-3108

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Duckworth Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375835879

PECOS Enrollment IDI20160701000096

Medicare Billing Reassignments

Medicare enrollment records show Kellie Duckworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC

Same address

Neurology

677 CHURCH ST NE
Marietta, GA 30060

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1083027320 (770) 422-2326

Mak Anesthesia Holdings LLC

2.9 mi

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

Georgia Anesthesiologists, PC

9.3 mi

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

NPI 1740299197 (470) 505-8070

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 3

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 procedure on heart and large blood vessels 00560

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

19 services19 patients

Anesthesia for x-ray on artery of brain, heart, or chest 01926

Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.

15 services15 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

11 services11 patients

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

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

JILLIAN MARIE BLALOCK DO

Emergency Medicine

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

JAMIN GRAHAM MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

SAUMYA S GURBANI MD, PHD

Radiology (Diagnostic Radiology)

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

JULIA PATRICIA KENDRICK

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

DR. HALEY PUCKETT LAWHORN MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MRS. RHONDA KIM LEE NP-C

Registered Nurse (Wound Care)

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-7173

DEVIN HORTON CRNA

Nurse Anesthetist, Certified Registered

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 794-0477

BRITNEY ELIZABETH BECKETT

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

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 Kellie Duckworth's NPI number?

The NPI number for Kellie Duckworth is 1730546391. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Kellie Duckworth located?

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

What is Kellie Duckworth's specialty?

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

Is Kellie Duckworth enrolled in Medicare?

Yes. Kellie Duckworth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellie Duckworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Duckworth reassigns Medicare benefits to 3 organizations: Wellstar Medical Group, LLC (Marietta, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA) and Georgia Anesthesiologists, PC (Woodstock, GA). 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 Kellie Duckworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Duckworth accept?

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

According to CMS data, Kellie Duckworth is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kellie Duckworth was last updated on August 28, 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.