Jada C Beeson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Macon, GA
NPI 1255653259 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1255653259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN175420 (GA)
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (866) 507-5244
- Fax
- (855) 851-4405
- NPI assigned
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Anesthesiology Associates of Georgia LLC
Practice addresses (Care Compare)
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (678) 514-1991
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100712000365 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779615653 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175420 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Georgia, LLC | Current |
Accepting new patients | |
| Gastro South Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800
888 Pine St
Macon, GA 31201
Phone (478) 751-0527
777 Hemlock St
#201
Macon, GA 31201
249 Sheraton Blvd
Macon, GA 31210
Phone (478) 241-2780
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN175420 | GA | Yes |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858023365A | Medicaid | GA |
Other names
- Jada Lynn Coleman
Other providers in Macon, GA
- Kristen Beck
- Allison Carroll Becker
- Gaurav Bector
- Raymond Bradley Bedgood
- George C. Bedingfield
- Uzma Beg
- Behavioral Learned Management LLC
- Behavioral Medicine, LLC
- Sara Strebe Behrens
- Belair at Macon
All providers in Macon, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.