Larette Denise Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN104440 Issued in GA

Practice address

2451 Cumberland Pkwy SE
Ste #3414
Atlanta, GA 30339-6136

Phone

(832) 283-7792

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, DC, NC3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 30)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

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.

• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment Care Compare group NPD
• Anesthesia Plus LLC

  • Anesthesiology Physician
  • Peachtree City, GA
  • NPI 1609028174
  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168
  Medicare reassignment NPD
• Greater Atlanta Anesthesia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1285043158
  Medicare reassignment NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment NPD
• North Fulton Anesthesia Associates PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467445262

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pain Physicians Anesthesia, LLC

  • Anesthesiology Physician
  • Alpharetta, GA
  • NPI 1194287763
  Medicare reassignment NPD
• Radius Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1861996225
  Medicare reassignment NPD
• RG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Rome, GA
  • NPI 1235553421

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• Xenon Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1366865123
  Medicare reassignment NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1952360851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "STE #3414",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "770-596-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "STE #3414",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "832-283-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LARETTE",
        "middle_name": "DENISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN104440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000887928",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dione Jackson, MS,LPC
• Kira Jackson
• Kristy Lee Jackson, RN
• Ladeania Lilth Jackson, RN
• Lana Jean Jackson, P.A.
• Latasha Rachele Jackson, MSN, APRN, PMHNP-BC
• Latisha Ranae Jackson
• Lauren Victoria Jackson, OD
• Leo Jackson III, PT
• Leopold L Jackson, MD

• Certified Registered Nurse Anesthetist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.