Active NPI
Angela D Jenkins I, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN144846
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549669 | Other | GA | WELLCARE |
| AN1383 | Medicaid | SC | |
| 269333706A | Medicaid | GA | |
| P00819049 | Other | GA | RAILROAD MEDICARE |
| 580628385 | Other | GA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Radiance Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbus Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spectrum Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Synergy Anesthesiology Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Macon LLP | Past | Accepting new patients | |
| South Atlanta Vascular Institute, LLC | Past | Accepting new patients | |
| Anesthesiology of Greenwood PA | Past | 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
- https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
- 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.
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1366742538
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1306123336
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1194381236
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Atlanta, GA
- NPI 1578074993
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1003040502
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1104178482
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Macon, GA
- NPI 1083720478
-
- Vascular Surgery Physician
- Stockbridge, GA
- NPI 1063903078
-
- Anesthesiology Physician
- Greenwood, SC
- NPI 1932189081
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.