Individual provider Active NPI

Jerry Norris Veal Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1811131394
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN124545 CRNA Issued in GA
Practice address
8771 Macon Hwy
Suite a
Athens, GA 30606-5224
Phone
(706) 353-1301
Fax
(706) 353-1510
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 RN124545 CRNA GA Primary

Addresses

Primary practice location

8771 Macon Hwy
Suite a
Athens, GA 30606-5224

Mailing address

PO Box 81472
Athens, GA 30608-1472
Phone (706) 353-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN124545 CRNAGAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Addiction Recovery Center, L.L.C. Past Accepting new patients
Georgia Anesthesia Providers LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Spartanburg Hospital for Restorative Care Past Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients

Organizations & group practices 4

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1811131394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81472",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306081472",
            "telephone_number": "706-353-1301",
            "fax_number": "706-353-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8771 MACON HWY",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065224",
            "telephone_number": "706-353-1301",
            "fax_number": "706-353-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "JERRY",
        "middle_name": "NORRIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN124545 CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.