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.
- 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
8 nearest certified registered nurse anesthetist records → All 1,979 in Georgia → Look up another NPI →
Verify Marissa Lynette Commodore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license RN264280Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 4 group practices
- Piedmont Anesthesia LLCStockbridge, GA
- Regenerative Spine And Pain SpecialistsFayetteville, GA
- Rockdale Anesthesia Services, P.C.Conyers, GA
- 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.
All 1,979 in Georgia → Every provider in Stone Mountain → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Shajuan Galloway, CRNAStone Mountain, GA 300871750529772
- Amber Holloman, CRNAStone Mountain, GA 300871780274415
- Margaret McDaniell, CRNAStone Mountain, GA 300871144267964
- Vida Pope, CRNAStone Mountain, GA 300871518000850
- Katie Cole, CRNATucker, GA 300841962776849
- Rebekah Elting, RNTucker, GA 300841942087168
- Kimberly Howard, CRNATucker, GA 300841427321371
- 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.