Active NPI
Jessica Lynne Hall, CRNA
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 231644
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-4579
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN231644 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 231644 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
1182 Franklin Cir NE
Atlanta, GA 30324-4606
Phone (770) 243-9395
Other names 1
- Miss Jessica Lynne Galloway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231644 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1730657891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 FRANKLIN CIR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244606",
"telephone_number": "770-243-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN231644",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "231644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GALLOWAY",
"middle_name": "LYNNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.