Active NPI
Jordan Lane Truby
- Certified Registered Nurse Anesthetist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 145632
- Practice address
- 600 Celebrate Life Pkwy
Newnan, GA 30265-8001 - Phone
- (770) 744-4809
- NPI assigned
- Jul 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 924764 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 145632 | GA | Primary |
Addresses
Primary practice location
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Mailing address
600 Celebrate Life Parkway
Newnan, GA 30265
Phone (770) 744-4809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MD, DE, PA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282
705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703
801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 924764 | TX | MD | Registered Nurse |
| 145632 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Southeast LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| TMC-West Georgia Anesthesia Associates Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Carrollton, GA
- NPI 1740252022
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
DE, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1053750646
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1487107157
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
-
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1861170458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PARKWAY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "770-744-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "770-744-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUBY",
"first_name": "JORDAN",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-05",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "924764",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "145632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.