Individual provider Active NPI

Jessica Ayre Skelton, CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1174712285
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN159445 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606
Phone
(706) 543-3449
Fax
(706) 543-5744
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN159445 GA Primary
Registered Nurse 163W00000X RN159445 GA
Registered Nurse 163W00000X R91530 SC

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606

Mailing address

4120 Colham Ferry Rd
Watkinsville, GA 30677-3343

Other identifiers 1

IdentifierTypeStateIssuer
714577994AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000644 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224117825 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Anesthesiology of AthensGroup PAC ID 1456246230, 79 clinicians
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449

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

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R91530SCMDRegistered Nurse
RN159445GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 9, 2016 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2025 Accepting new patients
Medical Center Anesthesiology of Athens CurrentSince Jan 1, 2008 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2015 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Mar 7, 2023 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2023 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

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

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

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

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1500 Oglethorpe Ave
Ste 500B
Athens, GA 30606
Phone (706) 548-5833

1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

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

4167 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-1234

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1174712285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 COLHAM FERRY RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306773343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "JESSICA",
        "middle_name": "AYRE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN159445",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN159445",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "R91530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714577994A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.