Individual provider Active NPI

Deidra Stallings, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, GA
National Provider Identifier
1700442936
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN264644 Issued in GA
Practice address
2000 Palmyra Rd
Albany, GA 31701-1528
Phone
(229) 434-2000
NPI assigned
May 13, 2019
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN264644 GA Primary
Critical Care Medicine Registered Nurse 163WC0200X RN264644 GA

Addresses

Primary practice location

2000 Palmyra Rd
Albany, GA 31701-1528

Mailing address

309 Merry Way
Perry, GA 31069-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114002663 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345602249 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robins Anesthesia Services LLCGroup PAC ID 1052207792, 26 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-0051

1659 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN264644GAMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Dec 18, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1700442936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MERRY WAY",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310698414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011528",
            "telephone_number": "229-434-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "DEIDRA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN264644",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN264644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.