Shannon Lacey Staten, CRNA
Certified Registered Nurse Anesthetist · Vidalia, GA
Shannon Lacey Staten, CRNA is a certified registered nurse anesthetist with a practice address in Vidalia, Georgia, and NPI 1437421773, issued on Feb 2, 2012. Check the license (Georgia RN188967, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Lacey Staten
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- RN188967 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1 Meadows Pkwy, Vidalia, GA 30474
- Phone
- (912) 538-5537
- Enumerated
- Feb 2, 2012
- Record last updated
- Aug 27, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20120301000559); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 1,979 in Georgia → Look up another NPI →
Also registered at 1 Meadows Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brick Acosta, M.D.Internal Medicine Physician1083607956
- John Allen, CSFASurgical Assistant1861761421
- Emily Berryhill, PA-CPhysician Assistant1174387781
- Brandon Blount, CRNACertified Registered Nurse Anesthetist1457006256
- Kelli BoatrightFamily Nurse Practitioner1972287167
- Glen Bunn, MDEmergency Medicine Physician1487004230
Verify Shannon Lacey Staten in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license RN188967Check 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 one group practice
- SE Georgia Anesthesia, LLCVidalia, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Lacey Staten among 1,979 certified registered nurse anesthetist records in Georgia
Shannon Lacey Staten, 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 2012, is newer than 54% of them.
- NPI issued2012 · 54% of these records are older, 42% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2011 · median 2013 among the 1,438 with a school on file
- Record last updated2015 · 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).
6 certified registered nurse anesthetist records list a practice address in Vidalia
They are 6 of the 309 NPPES records with a practice address in Vidalia, and 1,979 certified registered nurse anesthetist records in Georgia.
All 1,979 in Georgia → Every provider in Vidalia → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Brandon Blount, CRNAVidalia, GA 304741457006256
- Ann Chalker, CRNAVidalia, GA 304741972783546
- Daniel Harris, CRNAVidalia, GA 304741730572850
- Damon Jessup, CRNAVidalia, GA 304741851578637
- Timothy Roose, CRNAVidalia, GA 304741881689917
- Shannon Thomas, CRNASylvania, GA 304671184696429
- Robert Counts, CRNAStatesboro, GA 304591093887770
- David Derosso, CRNAStatesboro, GA 304581194897710
Common questions
What is Shannon Lacey Staten, CRNA's NPI number?
Shannon Lacey Staten, CRNA's National Provider Identifier (NPI) is 1437421773, issued on Feb 2, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Lacey Staten, CRNA located?
The NPPES record lists a practice address at 1 Meadows Pkwy, Vidalia, GA, 30474. Phone: (912) 538-5537. Providers update this record themselves, so call before visiting.
How can I verify Shannon Lacey Staten, CRNA's license?
NPPES lists Georgia license number RN188967, 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.