Individual provider Active NPI

Wendy J. Gigliotti, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1275748774
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN162778 Issued in GA
Practice address
360 Fairways Dr
Macon, GA 31220-8776
Phone
(850) 525-1026
NPI assigned
May 10, 2007
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 RN162778 GA Primary

Addresses

Primary practice location

360 Fairways Dr
Macon, GA 31220-8776

Mailing address

360 Fairways Dr
Macon, GA 31220-8776
Phone (850) 525-1026

Other names 1

  • Wendy G. Jacks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060111000513 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426005778
I20150126001391 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426005778 Reassigns benefits to 4 organizations
I20190814000326 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426005778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams of Gulf Breeze LLCGroup PAC ID 9537326665, 38 clinicians
Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Gulf Coast Anesthesia, LLC CurrentSince Feb 1, 2021 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2014 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Feb 8, 2020 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2014 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Feb 8, 2020 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Jul 1, 2019 Accepting new patients
Henry C. Ballance & Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Onslow Memorial Hospital Inc Past Accepting new patients
Gadsden Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

4531 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-5577

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

4828 N Davis Hwy
Pensacola, FL 32503

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1275748774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FAIRWAYS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208776",
            "telephone_number": "850-525-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 FAIRWAYS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208776",
            "telephone_number": "850-525-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGLIOTTI",
        "first_name": "WENDY",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN162778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "JACKS",
            "middle_name": "G.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.