NPI age
17 years
Enumerated 2008-07-22
● Active
Type 1 · Individual
Alicia M Craddock, CRNA
Craddock is 1 of 59 nurse anesthetist, certified registered providers in Marietta and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 3 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Practice location
2540 Windy Hill Rd Se
Marietta, GA 300678605
Mailing address
2540 Windy Hill Rd Se
Marietta, GA 300678605
Additional practice locations
1 secondary location on file with NPPES.
Location 2
975 E Third Street
Chattanooga, TN 374032147
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed 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...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | P00770314 | RAILROAD MEDICARE |
| 01 (GA) | N480408 | WELLCARE (GA MEDICAID) |
| 05 (NC) | 8053486 | |
| 05 (AL) | 108083 | |
| 05 (GA) | 662969153A | |
| 01 (TN) | 4157214 | BLUE CROSS BLUE SHIELD TN |
| 05 (TN) | 1510651 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 84 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.