Jesse Lynn Ryan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN-CRNA074053 Issued in GA

Practice address

521 Hill Street, SW
Thomson, GA 30824-2118

Phone

(706) 597-5239

Fax

(706) 597-5141

NPI assigned

Dec 11, 2006

Last updated

Mar 6, 2026By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Consultants of Augusta, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1881877793
  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  dba Grady Health Systems

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1992799050
  Medicare reassignment NPD
• Ams Southeast LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1487107157

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  dba Grady Health System

  • Inpatient Hospice
  • Atlanta, GA
  • NPI 1578611638
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1376603290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 DEERWOOD LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094224",
            "telephone_number": "706-597-5239",
            "fax_number": "706-597-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 HILL STREET, SW",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242118",
            "telephone_number": "706-597-5239",
            "fax_number": "706-597-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JESSE",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "APRN-CRNA074053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "43ZCBFH",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000519384E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keilondria Robertson, MPH, LMSW
• Rocky Mountain Holdings, LLC (Air Life Georgia)
• Thomas Ray Rodgers, FNP-BC
• Dylan Robert Rose, PT
• Paul Spencer Ruble, D.O.
• Andrea Samaha
• Carolyn Louise Samuels
• Wanda Sanders, LPC
• Chantell Scott
• Rosalind Felecia Scott, LPC

• Certified Registered Nurse Anesthetist in Thomson, GA
• Providers in Thomson, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.