NPPES file of Aug 9, 2026

Marissa Lynette Commodore, CRNA

Certified Registered Nurse Anesthetist · Stone Mountain, GA

Marissa Lynette Commodore, CRNA is a certified registered nurse anesthetist with a practice address in Stone Mountain, Georgia, and NPI 1881264356, issued on Jun 28, 2021. Check the license (Georgia RN264280, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881264356
Name
Marissa Lynette Commodore
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
RN264280 GA
Self-reported in NPPES; status is on the state search
Practice location
5357 Windfern CT, Stone Mountain, GA 30088
Phone
(770) 875-3080
Enumerated
Jun 28, 2021
Record last updated
May 23, 2024
Medicare enrollment
Enrolled (PECOS I20230721001469); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Marissa Lynette Commodore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license RN264280
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 4 group practices

  1. Piedmont Anesthesia LLCStockbridge, GA
  2. Regenerative Spine And Pain SpecialistsFayetteville, GA
  3. Rockdale Anesthesia Services, P.C.Conyers, GA
  4. The Emory Clinic IncAtlanta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Marissa Lynette Commodore among 1,979 certified registered nurse anesthetist records in Georgia

Marissa Lynette Commodore, CRNA is one of 1,979 certified registered nurse anesthetist records with a practice address in Georgia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 83% of them.

  • NPI issued2021 · 83% of these records are older, 13% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2023 · median 2013 among the 1,438 with a school on file
  • Record last updated2024 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Certified Registered Nurse Anesthetist providers in Georgia

There are 1,979 certified registered nurse anesthetist records in Georgia.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Shajuan Galloway, CRNAStone Mountain, GA 300871750529772
  2. Amber Holloman, CRNAStone Mountain, GA 300871780274415
  3. Margaret McDaniell, CRNAStone Mountain, GA 300871144267964
  4. Vida Pope, CRNAStone Mountain, GA 300871518000850
  5. Katie Cole, CRNATucker, GA 300841962776849
  6. Rebekah Elting, RNTucker, GA 300841942087168
  7. Kimberly Howard, CRNATucker, GA 300841427321371
  8. Laura Reichwald, CRNATucker, GA 300841588601363

Common questions

What is Marissa Lynette Commodore, CRNA's NPI number?

Marissa Lynette Commodore, CRNA's National Provider Identifier (NPI) is 1881264356, issued on Jun 28, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Marissa Lynette Commodore, CRNA located?

The NPPES record lists a practice address at 5357 Windfern CT, Stone Mountain, GA, 30088. Phone: (770) 875-3080. Providers update this record themselves, so call before visiting.

How can I verify Marissa Lynette Commodore, CRNA's license?

NPPES lists Georgia license number RN264280, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.