Individual provider Active NPI

Jessica Hooks Duty

  • Certified Registered Nurse Anesthetist
  • Gadsden, AL
National Provider Identifier
1053854364
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN219008 Issued in GA
Practice address
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone
(256) 494-4132
NPI assigned
Nov 18, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-159002 AL
Certified Registered Nurse Anesthetist 367500000X RN219008 GA Primary

Addresses

Primary practice location

1007 Goodyear Ave
Gadsden, AL 35903-1195

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Other names 1

  • Jessica Wooten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170220001312 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587947429 Reassigns benefits to 1 organization
I20190107002559 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587947429 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
Ams Southeast LLCGroup PAC ID 3870880792, 83 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince May 22, 2023 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2021 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Feb 15, 2019 Accepting new patients
Gastro South Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 28, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2024 Accepting new patients
Anesthesia Associates CurrentSince Jan 1, 2018 Accepting new patients
Macon Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients

Locations

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1 Commerce Sq
Gadsden, AL 35901

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1521 Rainbow Dr
Gadsden, AL 35901
Phone (256) 459-8255

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

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

249 Sheraton Blvd
Macon, GA 31210
Phone (478) 241-2780

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

Organizations & group practices 9

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1053854364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTY",
        "first_name": "JESSICA",
        "middle_name": "HOOKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-159002",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN219008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOOTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.