Individual provider Active NPI

Jennifer L Cantrell, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1174782601
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN135472 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122
Phone
(404) 355-3200
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 RN135472 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122

Mailing address

2 Ranan LN
Newnan, GA 30263-6990
Phone (678) 852-4412

Other names 1

  • Jennifer L Pate Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000292 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395805469 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Anesthesia LLCGroup PAC ID 2961868559, 18 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Northern Georgia Anesthesia Associates, LLCGroup PAC ID 8527570209, 19 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 401
Fayetteville, GA 30214-4537
Phone (843) 651-2624

3280 Howell Mill Rd NW
Suite T150
Atlanta, GA 30327-4123
Phone (404) 355-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN135472GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2025 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Jul 1, 2017 Accepting new patients
Northern Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2025 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Jul 1, 2010 Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste T100
Atlanta, GA 30327
Phone (404) 355-3200

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

3280 Howell Mill Rd NW
Ste T150
Atlanta, GA 30327
Phone (404) 355-3200

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

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

Organizations & group practices 6

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1174782601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RANAN LN",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636990",
            "telephone_number": "678-852-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE T100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274122",
            "telephone_number": "404-355-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN135472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PATE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.