Individual provider Active NPI

Jennifer Ruth Orkin, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Austell, GA
National Provider Identifier
1285952291
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN210419 Issued in GA
Practice address
3672 Marathon Cir Ste 120
Austell, GA 30106-6821
Phone
(678) 945-8551
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-111862 AL
Certified Registered Nurse Anesthetist 367500000X RN210419 GA Primary

Addresses

Primary practice location

3672 Marathon Cir Ste 120
Austell, GA 30106-6821

Mailing address

103 Dearborn St SE
Atlanta, GA 30317-2207
Phone (120) 528-9300

Other identifiers 1

IdentifierTypeStateIssuer
226367733AMedicaidGA

Other names 1

  • Jenny Marcilliat Former name

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101012001063 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628260429 Reassigns benefits to 7 organizations
I20180309001220 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628260429 Reassigns benefits to 2 organizations
I20240802000655 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628260429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Anesthesia Services PCGroup PAC ID 8123081429, 43 clinicians

Practice addresses (Care Compare)

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN210419GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2017 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Jun 15, 2023 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients
Pain Physicians Anesthesia, LLC CurrentSince Aug 1, 2019 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince May 1, 2023 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Jul 15, 2024 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Feb 2, 2015 Accepting new patients
Heca, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2024 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Huntsville Anesthesiology Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2026 Accepting new patients

Locations

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1285952291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DEARBORN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172207",
            "telephone_number": "120-528-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 MARATHON CIR STE 120",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066821",
            "telephone_number": "678-945-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORKIN",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-111862",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN210419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226367733A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "MARCILLIAT",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.