Individual provider Active NPI

Angela D Jenkins I, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1023098977
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN144846 Issued in GA
Practice address
380 Hospital Dr.
Ste 410
Macon, GA 31217-8014
Phone
(478) 746-5644
Fax
(478) 745-4849
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN144846 GA Primary

Addresses

Primary practice location

380 Hospital Dr.
Ste 410
Macon, GA 31217-8014

Mailing address

380 Hospital Dr.
Ste 410
Macon, GA 31217-8014
Phone (478) 746-5644

Other identifiers 5

IdentifierTypeStateIssuer
549669OtherGAWELLCARE
AN1383MedicaidSC
269333706AMedicaidGA
P00819049OtherGARAILROAD MEDICARE
580628385OtherGATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000533 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719931617 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Anesthesia Partners LLCGroup PAC ID 8527254887, 4 clinicians

Practice addresses (Care Compare)

1130 Talbotton Rd
Suite B
Columbus, GA 31904-8749
Phone (706) 641-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Columbus Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2018 Accepting new patients
Spectrum Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 3, 2023 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2014 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Oct 1, 2024 Accepting new patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2017 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2016 Accepting new patients
Anesthesia Associates of Macon LLP Past Accepting new patients
South Atlanta Vascular Institute, LLC PastSince Nov 9, 2019 Accepting new patients
Anesthesiology of Greenwood PA PastSince Apr 1, 1993 Accepting new patients

Locations (25 of 30)

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

2308 Palmyra Rd
Albany, GA 31701
Phone (229) 888-2395

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

4080 McGinnis Ferry Rd
Ste 102
Alpharetta, GA 30005
Phone (770) 316-6158

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

67 Peachtree Park Dr NE
Ste 101
Atlanta, GA 30309
Phone (404) 378-1550

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016

2000 Hamilton Rd
Columbus, GA 31904
Phone (706) 324-4891

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

1130 Talbotton Rd
Ste B
Columbus, GA 31904
Phone (706) 327-0700

2430 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 494-7700

2751 Warm Springs Rd
Columbus, GA 31904
Phone (706) 221-2824

3970 Dep Bill Cantrell Memorial Rd
Ste 100
Cumming, GA 30040

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

705 Jesse Jewell Pkwy SE
Ste 125
Gainesville, GA 30501
Phone (678) 640-4679

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

6300 Hospital Pkwy
Ste 375B
Johns Creek, GA 30097
Phone (770) 771-5265

6300 Hospital Pkwy
Ste 375
Johns Creek, GA 30097
Phone (770) 771-5260

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

215 Sheraton Blvd
#2
Macon, GA 31210
Phone (478) 743-1458

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1023098977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR.",
            "address_2": "STE 410",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178014",
            "telephone_number": "478-746-5644",
            "fax_number": "478-745-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR.",
            "address_2": "STE 410",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178014",
            "telephone_number": "478-746-5644",
            "fax_number": "478-745-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_suffix": "I",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN144846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "549669",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1383",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269333706A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00819049",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "580628385",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.