Kellie Duckworth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Marietta, GA

Kellie Duckworth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marietta, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 677 Church St Ne, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 794-0477.

Kellie Duckworth is licensed to practice in Georgia (license number RN207654) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730546391.

Contact Information

Kellie Duckworth, CRNA
677 Church St Ne,
Marietta, GA 30060-1101
(770) 794-0477
(770) 794-3108

Map and Direction




Provider's Profile

Full NameKellie Duckworth
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location677 Church St Ne, Marietta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Duckworth graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1730546391
  • Provider Enumeration Date: 01/26/2016
  • Last Update Date: 08/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375835879
  • Enrollment ID: I20160701000096

Medical Identifiers

Medical identifiers for Kellie Duckworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730546391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN207654 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021917

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Duckworth allows following entities to bill medicare on her behalf.
Entity NameGeorgia Anesthesiologists, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740299197
PECOS PAC ID: 7315835063
Enrollment ID: O20040305000398
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Duckworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Duckworth, CRNA
1825 Hickory Creek Ct Nw,
Acworth, GA 30102-6416

Ph: (770) 823-2157
Kellie Duckworth, CRNA
677 Church St Ne,
Marietta, GA 30060-1101

Ph: (770) 794-0477

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Marietta, GA

Devin Horton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 770-794-0477    
Mrs. Melissa D. Limonta, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067
Phone: 470-644-1274    Fax: 470-644-1119
Mr. Wesley Eric Karcher, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067
Phone: 770-580-0979    Fax: 678-383-6735
Ashley Fitzgerald Hall, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 757-339-9356    
Nancy Uhrich,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 770-794-0477    Fax: 770-794-3108
Russell L. Branch Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060
Phone: 770-794-0477    Fax: 770-794-3108
Brady James Flores Banares, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 770-794-0477    Fax: 770-794-3108

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.