| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amsol Anesthetists Of Georgia, Llc | 5193780955 | 26 |
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 111 |
| Entity Name | Amsol Anesthetists Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20080829000381 |
| 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 |