Active NPI
Jacob Taylor Youmans, CRNA
- Certified Registered Nurse Anesthetist
- Reidsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN254883
- Practice address
- 247 S Main St
Reidsville, GA 30453-4605 - Phone
- (516) 945-3000
- Fax
- (704) 248-5537
- NPI assigned
- Sep 16, 2021
- Last updated
- Nov 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NCO-000002 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN254883 | GA | Primary |
Addresses
Primary practice location
247 S Main St
Reidsville, GA 30453-4605
Mailing address
PO Box 945375
Atlanta, GA 30394-5375
Phone (516) 945-3000
Other practice location 1
821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000
Other names 1
- Jacob Taylor Joe Youmans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Kansas City, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1207
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254883 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Greenland Anesthesia Management, LLC | Current | Accepting new patients | |
| Macon Gastroenterology Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985
Organizations & group practices 4
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
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Milledgeville, GA
- NPI 1740885383
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1922463132
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Optim Medical Center - Tattnall
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1275203689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 945375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303945375",
"telephone_number": "516-945-3000",
"fax_number": "704-248-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 S MAIN ST",
"city": "REIDSVILLE",
"state": "GA",
"postal_code": "304534605",
"telephone_number": "516-945-3000",
"fax_number": "704-248-5537"
}
],
"practiceLocations": [
{
"address_1": "821 N Cobb St",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310612343",
"country_code": "US",
"telephone_number": "478-776-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUMANS",
"first_name": "JACOB",
"middle_name": "TAYLOR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-16",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "NCO-000002",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN254883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "YOUMANS",
"middle_name": "TAYLOR JOE",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Reidsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.