Individual provider Active NPI

Jay Coleman Watson, CRNA

  • Certified Registered Nurse Anesthetist
  • Demorest, GA
National Provider Identifier
1811279243
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN181767 Issued in GA
Practice address
541 Historic Hwy 441 North
Demorest, GA 30535
Phone
(706) 839-6205
Fax
(706) 754-9668
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 RN181767 GA Primary

Addresses

Primary practice location

541 Historic Hwy 441 North
Demorest, GA 30535

Mailing address

PO Box 369
Turnerville, GA 30580-0369
Phone (706) 839-6205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000528 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214109263 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Lanier Anesthesia Associates LLCGroup PAC ID 4082061635, 7 clinicians

Practice addresses (Care Compare)

2324 Gainesville Overlook
Suite 200
Gainesville, GA 30501-7443
Phone (770) 536-8109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN181767GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Lanier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Habersham Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2011 Accepting new patients
Ambulatory Surgery Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Oconee River Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Gainesville Endoscopy Center, LLC Past Accepting new patients
Northeast Georgia Physicians Group Inc PastSince Aug 3, 2026 Accepting new patients
Braselton Endoscopy Center, LLC PastSince Aug 11, 2024 Accepting new patients

Locations

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

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

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

475 Philip Blvd
Ste 304
Lawrenceville, GA 30046
Phone (678) 377-8252

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1811279243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "TURNERVILLE",
            "state": "GA",
            "postal_code": "305800369",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HISTORIC HWY 441 NORTH",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAY",
        "middle_name": "COLEMAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN181767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.