Jay Coleman Watson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Demorest, GA
NPI 1811279243 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1811279243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN181767 (GA)
- Practice address
- 541 Historic Hwy 441 North
Demorest, GA 30535 - Phone
- (706) 839-6205
- Fax
- (706) 754-9668
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
2324 Gainesville Overlook
Suite 200
Gainesville, GA 30501-7443
Phone (770) 536-8109
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000528 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214109263 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181767 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee River Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Habersham Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ambulatory Surgery Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lake Lanier Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gainesville Endoscopy Center, LLC | Past | Accepting new patients |
Locations
1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125
2334 Sparta Way
Ste 200
Buford, GA 30519
Phone (678) 997-2140
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
Gainesville, GA 30501
Phone 77053681092140
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN181767 | GA | Yes |
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
NPI Registry JSON
{
"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
- Amber Vandiver
- Edwin Enrique Villarreal
- Keith G. Vrabec
- Steven Edward Waggoner
- Waterfall Emergency Physicians, LLC
- Nancy M Watson
- Lillian Beth Wayne-Buck
- Pamela B Weatherly
- William Rhett Weaver
- Jeremy Webb
All providers in Demorest, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.