Individual provider Active NPI

Jannine Gundersen Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Peachtree City, GA
National Provider Identifier
1073625588
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
145037 Issued in GA
Practice address
115 Sweetwater Oaks
Peachtree City, GA 30269-2110
Phone
(678) 592-6633
NPI assigned
Aug 31, 2006
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 145037 GA Primary

Addresses

Primary practice location

115 Sweetwater Oaks
Peachtree City, GA 30269-2110

Mailing address

115 Sweetwater Oaks
Peachtree City, GA 30269-2110
Phone (678) 592-6633

Other names 1

  • Jannine Gundersen Deraney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050314000528 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183679160 Reassigns benefits to 14 organizations
I20091015000327 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183679160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nmda Anesthesia LLCGroup PAC ID 7113193541, 4 clinicians
Vertex Anesthesia Associates LLCGroup PAC ID 8022547306, 16 clinicians
Sweet Dreams Nurse Anesthesiology LLCGroup PAC ID 1658568621, 5 clinicians
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

158 Clinic Ave
Carrollton, GA 30117-4414
Phone (770) 834-1008

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

4060 Johns Creek Pkwy E
Johns Creek, GA 30024-1230
Phone (678) 615-3511

4339 Roswell Rd
Marietta, GA 30062-8167
Phone (770) 977-8221

6326 Peake Rd
Macon, GA 31210-3960
Phone (803) 252-7979

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145037GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2020 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2012 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2008 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2012 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Mid Florida Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2019 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2017 Accepting new patients
South Atlanta Vascular Institute, LLC PastSince Apr 15, 2019 Accepting new patients
Sentry Anesthesia Management, LLC PastSince Jan 2, 2020 Accepting new patients
Southern Crescent Anesthesiology, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Phoenix Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Prominence Anesthesia Nurse Anesthetist, Certified Registered PastSince Nov 14, 2019 Accepting new patients
First Source Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Jun 25, 2016 Accepting new patients

Locations (25 of 77)

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

1950 SW 18th Ct
Ste 102
Ocala, FL 34471
Phone (352) 789-6575

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

202 Doctors Dr
Panama City, FL 32405
Phone (850) 482-7200

3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466

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

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

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

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

531 7th Ave
Albany, GA 31701
Phone (229) 883-3535

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

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

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

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 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1073625588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SWEETWATER OAKS",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692110",
            "telephone_number": "678-592-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SWEETWATER OAKS",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692110",
            "telephone_number": "678-592-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JANNINE",
        "middle_name": "GUNDERSEN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "145037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNINE",
            "last_name": "DERANEY",
            "middle_name": "GUNDERSEN",
            "credential": "C.R.N.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.