Keandrea Bacon is a Ellenwood, Georgia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Keandrea Bacon is CRNA233963 for Anesthesia Administration in Georgia. Her current practice location is 120 Whirlaway Dr, Ellenwood. Patients can reach her at 404-444-3887. Keandrea Bacon with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1619712676.
Keandrea Bacon is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Keandrea Bacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Gender: | Female |
| Practice Address: | 120 Whirlaway Dr, Ellenwood,
Georgia, 30294-3259 |
| Phone: | 404-444-3887 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619712676 |
| NPI Enumeration Date: | 01 Jul, 2024 |
| NPI Last Update On: | 23 Sep, 2025 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keandrea Bacon are as mentioned below.
| License Number | Specialization | State | Status | |
| CRNA233963 | Anesthesia Administration | Georgia | Primary | |
| RN233963 | Registered Nurse | Georgia | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 120 Whirlaway Dr,
Ellenwood, Georgia |
| Zip: | 30294-3259 |
| Phone Number: | 404-444-3887 |
| Fax Number: | -- |
Patients can reach Keandrea Bacon at
120 Whirlaway Dr, Ellenwood, Georgia or can
call to book an appointment on 404-444-3887.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.