| Jordan Lane Truby, | |
|
600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | |
| (770) 744-4809 | |
| Not Available |
| Full Name | Jordan Lane Truby |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 600 Celebrate Life Pkwy, Newnan, 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 |
|---|---|---|---|
| 1861170458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 924764 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 145632 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-west Georgia Anesthesia Associates Inc. | 2365456308 | 65 |
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Anesthesia Company Llc | 4587559026 | 308 |
| Anesthesia Company Llc | 4587559026 | 308 |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Sg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053750646 PECOS PAC ID: 3072757079 Enrollment ID: O20130912000589 |
| 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 | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lane Truby, 600 Celebrate Life Parkway, Newnan, GA 30265 Ph: (770) 744-4809 | Jordan Lane Truby, 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 Ph: (770) 744-4809 |
Rebecca Ryan Bunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Caitlin Craig Lofaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-744-4809 | |
Timothy Joseph Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr, Suite A, Newnan, GA 30265 Phone: 770-251-2060 | |
Taylor Michelle Courtner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Mr. Paul L Duso, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
David Laguardia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Shannon Lynn Stansell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 |