NPI age
20 years
Enumerated 2005-10-18
● Active
Type 1 · Individual
William Enrique Agudelo, CRNA
Agudelo is 1 of 142 nurse anesthetist, certified registered providers in MacOn and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
GA, SC, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-23
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
20 years
↑ 5 yr above median (15 yr)
State licenses
3 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
380 Hospital Drive, Suite 410
MacOn, GA 312178014
Mailing address
Po Box 2564
MacOn, GA 312032565
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | AN1387 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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- 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.
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