| Jack Powell, CRNA | |
|
743 Spring St Ne, Gainesville, GA 30501-3715 | |
| (770) 532-7179 | |
| (770) 534-1312 |
| Full Name | Jack Powell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023489937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN202066 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union General Hospital | Blairsville, GA | Hospital |
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firsthealth Of The Carolinas Inc | 8820909377 | 138 |
| Innovative Anesthesia Solutions Llc | 9931594942 | 21 |
| Innovative Anesthesia Solutions Llc | 9931594942 | 21 |
| Entity Name | Firsthealth of the Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
| Entity Name | Innovative Anesthesia Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326706763 PECOS PAC ID: 9931594942 Enrollment ID: O20230612001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Powell, CRNA 1557 Janmar Rd, Snellville, GA 30078-5686 Ph: (678) 344-8900 | Jack Powell, CRNA 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 532-7179 |
Darryl E Blalock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |
Nicole Marie Hand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 |
Laura E Carmichael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |
Brandon Chase England, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 |
Lindsey Stradley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 |
Emily K Gillum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |
Susanna Zadig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 |