| Jacob Taylor Youmans, CRNA | |
|
247 S Main St, Reidsville, GA 30453-4605 | |
| (516) 945-3000 | |
| (704) 248-5537 |
| Full Name | Jacob Taylor Youmans |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 247 S Main St, Reidsville, 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 |
|---|---|---|---|
| 1275203689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NCO-000002 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN254883 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Optim Medical Center - Tattnall | Reidsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Associates Of Georgia Llc | 7618934779 | 204 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | Macon Gastroenterology Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922463132 PECOS PAC ID: 3274835004 Enrollment ID: O20160111000839 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Entity Name | Greenland Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740885383 PECOS PAC ID: 2668886425 Enrollment ID: O20210208000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Taylor Youmans, CRNA Po Box 945375, Atlanta, GA 30394-5375 Ph: (516) 945-3000 | Jacob Taylor Youmans, CRNA 247 S Main St, Reidsville, GA 30453-4605 Ph: (516) 945-3000 |
Clayborne Fulchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-664-5303 | |
Erica Logan Newberry, DNP-NA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 | |
Robert M Roberson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 | |
Michael Lockley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 | |
Douglas O. Baxley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 | |
Mrs. Janet Paulette Cohen Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 |