| Amanda Jackson, CRNA | |
|
209 N Cuthbert St, Colquitt, GA 39837-3518 | |
| (229) 758-4212 | |
| Not Available |
| Full Name | Amanda Jackson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 209 N Cuthbert St, Colquitt, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629590898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11019451 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN195072 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Amsol Anesthetists Of Georgia, Llc | 5193780955 | 20 |
| Entity Name | The Hospital Authority Of Miller County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710105119 PECOS PAC ID: 0244224947 Enrollment ID: O20040414000857 |
| Entity Name | Columbus Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366742538 PECOS PAC ID: 8527254887 Enrollment ID: O20101129000424 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | The Hospital Authority Of Miller County |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285794750 PECOS PAC ID: 0244224947 Enrollment ID: O20230918001554 |
| Entity Name | Hospitalist Medicine Physicians Of Georgia - Tcs, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jackson, CRNA Po Box 8866, Greensboro, NC 27419-0866 Ph: (866) 237-8936 | Amanda Jackson, CRNA 209 N Cuthbert St, Colquitt, GA 39837-3518 Ph: (229) 758-4212 |
Karen Nicole Trawick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St,, Colquitt, GA 39837 Phone: 229-758-3385 | |
Charles J Fetner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-6062 | |
Mr. Mac Bradley Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 North Cuthbert Street, Colquitt, GA 39837 Phone: 229-220-4498 |