P Praxis·MD
● Active Type 1 · Individual

DR. Crystal Lenay MacK, CRNA

Nurse Anesthetist, Certified Registered·Marietta, GA· NPI 1386216935 · Enumerated 2021 · 4 years on NPI
MacK is 1 of 59 nurse anesthetist, certified registered providers in Marietta and 1 of 2157 in Georgia.
NPI age
4 years
Enumerated 2021-07-13
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
4 years
↓ 11 yr below median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
677 Church St Ne
Marietta, GA 300601101
📞 7707940477
Mailing address
1314 Valley View Rd
Atlanta, GA 303384823
📞 3136419942

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2540 Windy Hill Rd Se
Marietta, GA 300678605
📞 7707940477
Location 3
8954 Hospital Dr
Douglasville, GA 301342272
📞 7707940477
Location 4
146 Bill Carruth Pkwy
Hiram, GA 301413749
📞 7707940477

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...
    GA license #RN258368 taxonomy 367500000X
  • 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...
    GA license #RN258358 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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