| James Brantley Jackson, CRNA | |
|
1350 Walton Way, Augusta, GA 30901-2612 | |
| (706) 737-9250 | |
| Not Available |
| Full Name | James Brantley Jackson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1350 Walton Way, Augusta, 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 |
|---|---|---|---|
| 1497086797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 160976 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN-CRNA160976 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Anesthesiologists Inc | 6800837980 | 91 |
| Entity Name | Southeast Anesthesiologists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210685 PECOS PAC ID: 6800837980 Enrollment ID: O20050518001265 |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20180430002438 |
| Mailing Address | Practice Location Address |
|---|---|
| James Brantley Jackson, CRNA Po Box 204097, Augusta, GA 30917-4097 Ph: (706) 855-9860 | James Brantley Jackson, CRNA 1350 Walton Way, Augusta, GA 30901-2612 Ph: (706) 737-9250 |
John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 |
Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |
Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 |
Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |
Lindsey Pettis, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9558 |
Lisa Smith Ray, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2260 Wrightsboro Rd, Augusta, GA 30904 Phone: 803-240-4957 |
Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |