Individual provider Active NPI

Katherine T Kelley, CRNA

  • Certified Registered Nurse Anesthetist
  • Cairo, GA
National Provider Identifier
1770981086
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN213485 Issued in GA
Practice address
1155 5TH St SE
Cairo, GA 39828-3142
Phone
(229) 377-1150
NPI assigned
Dec 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN213485 GA Primary

Addresses

Primary practice location

1155 5TH St SE
Cairo, GA 39828-3142

Mailing address

3700 Old Whigham Rd
Climax, GA 39834-2609
Phone (229) 220-3236

Other practice location 1

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (334) 279-1450

Other names 1

  • Katherine Trice Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150401000787 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759608730 Reassigns benefits to 4 organizations
I20211203000338 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759608730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady General HospitalGroup PAC ID 7618866518, 31 clinicians

Practice addresses (Care Compare)

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1150

2282 E Pinetree Blvd
Thomasville, GA 31792-4807
Phone 2292266000150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2024 Accepting new patients
Bainbridge Anesthesiology, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2015 Accepting new patients
Anesthetic Solutions of Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2021 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2024 Accepting new patients
Grady General Hospital CurrentSince Aug 1, 2018 Accepting new patients
Tallahassee Neurological Clinic CurrentSince Apr 3, 2024 Accepting new patients
Georgia-Florida Eye Centers, P.C. CurrentSince Feb 20, 2026 Accepting new patients
Georgia-Florida Eye Centers, P.C. CurrentSince Feb 20, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Tallahassee Neurosugery Pain Management LLC Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

2824 Mahan Dr
Ste 2
Tallahassee, FL 32308
Phone (850) 558-1270

2824 Mahan Dr
Tallahassee, FL 32308
Phone (617) 981-2655

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

2282 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 226-6000

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 10

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 1

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": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1770981086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 OLD WHIGHAM RD",
            "city": "CLIMAX",
            "state": "GA",
            "postal_code": "398342609",
            "telephone_number": "229-220-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283142",
            "telephone_number": "229-377-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Shotwell St",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398194256",
            "country_code": "US",
            "telephone_number": "334-279-1450",
            "fax_number": "334-395-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATHERINE",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN213485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KELLEY",
            "middle_name": "TRICE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.