Individual provider Active NPI

Jason Sirny, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1780805564
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN169127 Issued in GA
Practice address
610 Plum
Macon, GA 31201
Phone
(478) 955-5769
Fax
(478) 955-5769
NPI assigned
May 1, 2007
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 RN169127 GA Primary

Addresses

Primary practice location

610 Plum
Macon, GA 31201

Mailing address

1845 Lincoln Road
Macon, GA 31211
Phone (478) 955-5769

Other identifiers 4

IdentifierTypeStateIssuer
344393OtherGAWELLCARE CMO - MCCG
P00147040OtherGARAILROAD MCR - MCCG
440677502AOtherGAPEACHSTATE CMO - MCCG
440677502AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000301 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789657495 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

2400 Bellevue Rd
Suite 17
Dublin, GA 31021-2865
Phone (478) 274-8600

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2023 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2022 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
South Metro Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2020 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2024 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince May 1, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
American Anesthesiology of Minnesota, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

2400 Bellevue Rd
Ste 17
Dublin, GA 31021
Phone (478) 274-8600

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

112 Arkwright Lndg
Macon, GA 31210
Phone (478) 471-9779

215 Sheraton Blvd
#2
Macon, GA 31210
Phone (478) 743-1458

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

5400 Bowman Rd
Ste 200
Macon, GA 31210
Phone (478) 621-4501

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

6555 Professional Pl
Ste B
Riverdale, GA 30274
Phone (770) 692-0100

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1780805564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 LINCOLN ROAD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31211",
            "telephone_number": "478-955-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PLUM",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-955-5769",
            "fax_number": "478-955-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRNY",
        "first_name": "JASON",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN169127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE CMO - MCCG",
            "identifier": "344393",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR - MCCG",
            "identifier": "P00147040",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE CMO - MCCG",
            "identifier": "440677502A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440677502A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.