Vincent A Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

051295 Issued in TN

Practice address

3601 TVC
Nashville, TN 37232-0001

Phone

(615) 322-3000

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Gastrointestinal Anesthesia LLC 7 clinicians

Ddec Anesthesia, LLC 17 clinicians

Integrated Anesthesia Services, PLC 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Nashville Gastrointestinal Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1902282130

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment Care Compare group NPD
• Ddec Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1629439971

  TN

  Medicare reassignment Care Compare group
• Integrated Anesthesia Services, PLC

  • Certified Registered Nurse Anesthetist
  • Dickson, TN
  • NPI 1194736108

  TN

  Medicare reassignment Care Compare group
• Anesthesia Medical Group, PC

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1215932413

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Mid South Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1548565245

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Oral Surgical Institute, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1144298050

  TN

  Medicare reassignment NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• VCP2 Nashville PC

  • Surgery Physician
  • Nashville, TN
  • NPI 1801225412

  TN

  Medicare reassignment NPD
• Jackson Anesthesia Services PC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
  • NPI 1255434833

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Anesthesia Medical Group, PC

  • Pain Medicine (Anesthesiology) Physician
  • Nashville, TN
  • NPI 1417225897
  NPD
• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  NPD (past)
• Cardiovascular Anesthesiologists PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Nashville, TN
  • NPI 1912953381

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1255332003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 TVC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TVC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VINCENT",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "051295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74004656",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009983640",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3630981",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "4034837",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy L. Jackson, CRNA
• Tammy S Jackson, NP
• Teresa Leigh Jackson, APN
• Timothy L Jackson Jr., LMFT
• Tonia L Jackson, M.D.
• Paul G Jacob, MD, MPH
• Pradeep K Jacob, MD
• Ruth Kelly Jacob, R.N.
• Alexandra Callahan Jacobs, MD
• April Jacobs

• All providers in Nashville, TN
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.