Individual provider Active NPI

Jarrett Gilliam, CRNA

  • Certified Registered Nurse Anesthetist
  • New Orleans, LA
National Provider Identifier
1477189652
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
213711 Issued in LA
Practice address
1900 Gravier St
New Orleans, LA 70112-2262
Phone
(504) 568-4113
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 213711 LA Primary

Addresses

Primary practice location

1900 Gravier St
New Orleans, LA 70112-2262

Mailing address

PO Box 6014
Houma, LA 70361-6014
Phone (985) 850-6398

Other practice location 1

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4141

Other practice location 2

4608 Highway 1
Raceland, LA 70394-2623
Phone (504) 842-3754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702000243 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911320353 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone 8662148600203

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Anesthesia Corporation CurrentSince Aug 1, 2025 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
Terrebonne Parish Hospital Service District #1 Current Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Anesthesia Associates of Bayou Region LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Physician Practice Partners Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 31, 2025 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 31, 2025 Accepting new patients

Locations

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1366

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1900 Gravier St
New Orleans, LA 70112
Phone (504) 568-4106

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

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.

Hospital & facility affiliations 5

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1477189652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6014",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703616014",
            "telephone_number": "985-850-6398",
            "fax_number": "985-873-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRAVIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122262",
            "telephone_number": "504-568-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8166 Main St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703603404",
            "country_code": "US",
            "telephone_number": "985-873-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4608 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703942623",
            "country_code": "US",
            "telephone_number": "504-842-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "JARRETT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "213711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.