Individual provider Active NPI

Jonathan Alan Palmer, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Stewart, GA
National Provider Identifier
1184278632
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
123561 Issued in TX
Practice address
1061 Harmon Ave
Ft. Stewart, GA 31314
Phone
(912) 435-5687
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 123561 TX Primary

Addresses

Primary practice location

1061 Harmon Ave
Ft. Stewart, GA 31314

Mailing address

1061 Harmon Ave
Ft. Stewart, GA 31314
Phone (912) 435-5687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503001254 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911362538 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123561TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Jan 1, 2024 Accepting new patients
Bayou Anesthesia and Pain P.a. CurrentSince May 1, 2023 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince May 1, 2023 Accepting new patients

Locations

2760 Brazos Pkwy
Angleton, TX 77515
Phone (979) 848-5900

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

17322 Red Oak Dr
Houston, TX 77090
Phone (281) 895-8621

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

5146 Preston Ave
Pasadena, TX 77505
Phone (345) 203-5600

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

9303 New Trails Dr
Ste 185
The Woodlands, TX 77381
Phone (281) 882-3601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1184278632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "123561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.