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

Active since January 26, 2016Accepts Medicare Assignment
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: July 19, 2026.

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

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
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

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

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

Kellie Duckworth 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 ID3375835879
PECOS Enrollment IDI20160701000096

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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
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.

Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Cytopathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Pharmacist
677 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730546391, enumerated as an "individual" on January 26, 2016.

The provider is located at 677 CHURCH ST NE MARIETTA, GA 30060 and the phone number is (770) 794-0477.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.

Kellie Duckworth is affiliated with: WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER.