NPI age
14 years
Enumerated 2012-02-02
● Active
Type 1 · Individual
Shannon Lacey Staten, CRNA
Staten is 1 of 6 nurse anesthetist, certified registered providers in Vidalia and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-08-27
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
14 years
≈ at median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Practice location
1 Meadows Pkwy
Vidalia, GA 304748759
Mailing address
Po Box 1303
Vidalia, GA 304751303
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...
Practice context
Part of a multi-provider practice. 43 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 →
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