Individual provider Active NPI

Jerry Price Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Villa Rica, GA
National Provider Identifier
1821053901
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN096358 Issued in GA
Practice address
2010 Barrington LN
Villa Rica, GA 30180-6954
Phone
(770) 824-7855
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 23

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.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Southeast LLC 83 clinicians
Sleep Ezzy 23 clinicians

Practice addresses (Care Compare)

1501 Alice St
Waycross, GA 31501-4530
Phone (912) 285-0877

455 Philip Blvd
Suite 138
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040429001145 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022005032 Reassigns benefits to 1 organization
I20041108000903 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022005032 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2017 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Feb 7, 2022 Accepting new patients
Sleep Ezzy CurrentSince Mar 1, 2024 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Feb 7, 2022 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2019 Accepting new patients
Okefenokee Anesthesia Company LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2018 Accepting new patients
Gut PC Current Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2005 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Nov 15, 2017 Accepting new patients
Southern Crescent Anesthesiology, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Friendship Surgery Center PastSince Jun 18, 2021 Accepting new patients
Parkway Anesthesia Consultants, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Crescent Nurse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Axis Anesthesia Associates PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Interventional Pain - C, LLC PastSince Mar 1, 2024 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients
Paulding Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
West Ga. Nurse Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alabama Anesthesia of Huntsville LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Newnan Anesthesia Associates, LLC Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1388 Wellbrook Cir NE
Conyers, GA 30012

1200 Bald Ridge Marina Rd
Ste 160
Cumming, GA 30041

892 Legacy Park Dr
Lawrenceville, GA 30043

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1501 Alice St
Waycross, GA 31501
Phone (844) 469-4936

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN096358 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2010 Barrington LN
Villa Rica, GA 30180-6954

Mailing address

2010 Barrington LN
Villa Rica, GA 30180-6954
Phone (770) 824-7855

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
121044531AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2019.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1821053901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BARRINGTON LN",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806954",
            "telephone_number": "770-824-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BARRINGTON LN",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806954",
            "telephone_number": "770-824-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JERRY",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN096358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121044531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.