Jonathan Wesley Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

190408 Issued in NC

Practice address

500 Lauchwood Drive
Laurinburg, NC 28352-5501

Phone

(910) 610-4011

Fax

(910) 276-9412

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
• Wilson Medical Center Hospital, Wilson, NC, CCN 340126
• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Scotland Memorial Hospital Inc

  dba Scotland Memorial Crna Services

  • Certified Registered Nurse Anesthetist
  • Laurinburg, NC
  • NPI 1407840374

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519

  Registered Nurse

  Medicare reassignment NPD
• Firsthealth of the Carolinas, Inc

  dba Montgomery Memorial Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Troy, NC
  • NPI 1053482596

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pinehurst Surgical Clinic PA

  • Surgery Physician
  • Pinehurst, NC
  • NPI 1962434324
  Medicare reassignment NPD
• Prolific Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Wilson, NC
  • NPI 1669231452
  Medicare reassignment NPD
• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Firsthealth of the Carolinas, Inc

  dba Moore Regional Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
  • NPI 1851477970

  Nurse Anesthetist, Certified Registered

  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  dba FirstHealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  NPD

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

• DLP Central Carolina Medical Center LLC

  dba Central Carolina Hospital

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation
• DLP Wilson Medical Center LLC

  dba Wilson Medical Center

  • General Acute Care Hospital
  • Wilson, NC
  • NPI 1215359922
  Care Compare affiliation
• DLP Wilson Medical Center LLC

  dba Wilson Medical Center

  • Psychiatric Hospital Unit
  • Wilson, NC
  • NPI 1386196459
  Care Compare affiliation
• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597
  Care Compare affiliation

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1629273735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532257",
            "telephone_number": "910-610-4011",
            "fax_number": "910-276-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DRIVE",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-610-4011",
            "fax_number": "910-276-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JONATHAN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APRN3271",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "190408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCNA CERTIFICATION",
            "identifier": "077609",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Jawad Iqbal, MD
• J & S Care Inc.
• J & S Care Inc.
• Charles E Jackson, PT
• Donald Jefferson Jackson, MSW LCSW LCAS-A
• Rachel Renee Jackson, CRNA, BSN, RN
• Amanda Collins Jacobs, FNP
• Marsha G Jacobs, RCS, RVS
• Jeffrey a. Moore, Inc
• John T Atkins MD PLLC

• Certified Registered Nurse Anesthetist in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.