Active NPI
Nancy T Jeter, CRNA
- Certified Registered Nurse Anesthetist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN091310
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 794-0477
- Fax
- (770) 794-3108
- NPI assigned
- May 22, 2006
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN091310 | GA | Primary |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
PO Box 932840
Atlanta, GA 31193-2925
Phone (800) 749-2940
Other practice location 1
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 690-0570
Other practice location 2
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 794-0477
Other practice location 3
146 Bill Carruth Pkwy
Hiram, GA 30141-3749
Phone (770) 794-0477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982637419 | Other | GA | GROUP NPI |
| 000856963E | Medicaid | GA | |
| 1235184185 | Other | GA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy Hill Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Atlanta Center for Reconstructive Foot & Ankle Surgery, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Northlake Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982637419
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1467514943
Nurse Anesthetist, Certified Registered
-
dba Atlanta Center for Foot & Ankle Surgery, LLC
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1538168471
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba Grady Health Systems
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1235184185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932840",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932925",
"telephone_number": "800-749-2940",
"fax_number": "706-660-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108"
}
],
"practiceLocations": [
{
"address_1": "2540 Windy Hill Rd SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678605",
"country_code": "US",
"telephone_number": "770-690-0570",
"fax_number": "706-660-1454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8954 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301342272",
"country_code": "US",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "146 Bill Carruth Pkwy",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301413749",
"country_code": "US",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JETER",
"first_name": "NANCY",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN091310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982637419",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000856963E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1235184185",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.