Individual provider Active NPI

Jana Geeslin, CRNA

  • Certified Registered Nurse Anesthetist
  • Clarksville, TN
National Provider Identifier
1588967103
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
15378 Issued in TN
Practice address
1817A Madison St
Ste 1
Clarksville, TN 37043-2930
Phone
(931) 551-1795
Fax
(931) 551-1798
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 15378 TN Primary

Addresses

Primary practice location

1817A Madison St
Ste 1
Clarksville, TN 37043-2930

Mailing address

110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000936 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193905297 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15378TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Jan 1, 2022 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC PastSince Sep 1, 2005 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

2006 Franklin St SE
Ste 301
Huntsville, AL 35801
Phone (256) 539-9471

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

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

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

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

Organizations & group practices 5

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1588967103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817A MADISON ST",
            "address_2": "STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432930",
            "telephone_number": "931-551-1795",
            "fax_number": "931-551-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEESLIN",
        "first_name": "JANA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "15378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.