P Praxis·MD
● Active Type 1 · Individual

Katie R Cacciapalle, CRNA

Anesthesiologist Assistant·MacOn, GA· NPI 1780939561 · Enumerated 2012 · 13 years on NPI
Cacciapalle is 1 of 49 anesthesiologist assistant providers in MacOn and 1 of 1530 in Georgia.
NPI age
13 years
Enumerated 2012-07-18
Primary specialty
Anesthesiologist Assistant
Plus 2 subspecialties
Licensed in
GA, FL, MI
3 states
Status
Active
No deactivations on record
Last NPPES update
2017-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1530 active anesthesiologist assistant providers in Georgia.

NPI age
13 years
≈ at median (12 yr)
State licenses
3 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 22% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
777 Hemlock St
MacOn, GA 312012102
📞 4786332147fax 4787429670
Mailing address
Po Box 551420
Fort Lauderdale, FL 333551420
📞 8002433839fax 8558514405

Specialties

  • Anesthesiologist Assistant Primary
    An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a...
    taxonomy 367H00000X
  • Nurse Anesthetist, Certified Registered
    (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...
    FL license #ARNP9301121MI license #4704296775 taxonomy 367500000X

Identifiers

TypeValueNotes
01 (MI) 4704296775 MI LICENSE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 448 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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