Individual provider Active NPI

Ann Marie Chalker, CRNA

  • Certified Registered Nurse Anesthetist
  • Vidalia, GA
National Provider Identifier
1972783546
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN-CRNA129249 Issued in GA
Practice address
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone
(912) 538-5359
Fax
(912) 538-5228
NPI assigned
Nov 12, 2007
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 APRN-CRNA129249 GA Primary

Addresses

Primary practice location

1 Meadows Pkwy
Vidalia, GA 30474-8759

Mailing address

PO Box 1303
Vidalia, GA 30475-1303
Phone (912) 538-5359

Other identifiers 1

IdentifierTypeStateIssuer
775566507AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000219 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961580063 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Georgia Anesthesia, LLCGroup PAC ID 8426466137, 114 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1341

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-CRNA129249GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Current Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2025 Accepting new patients
Emanuel County Hospital Authority CurrentSince Sep 1, 2025 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
SE Georgia Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2021 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients

Locations

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-4347

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1703 Meadows Ln
Vidalia, GA 30474
Phone (912) 537-8921

Organizations & group practices 6

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1972783546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751303",
            "telephone_number": "912-538-5359",
            "fax_number": "912-538-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEADOWS PKWY",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748759",
            "telephone_number": "912-538-5359",
            "fax_number": "912-538-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALKER",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "APRN-CRNA129249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "775566507A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.