MR. ANDREW CRAIG JACKSON CRNA
NPI 1174516132
Nurse Anesthetist, Certified Registered in Jefferson, NC

NPI Status: Active since August 25, 2005

Contact Information

200 HOSPITAL AVE
JEFFERSON, NC
ZIP 28640
Phone: (336) 846-0719

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About ANDREW JACKSON

This page provides the complete NPI Profile along with additional information for Andrew Jackson, a provider established in Jefferson, North Carolina with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1174516132 assigned on August 2005. The practitioner's primary taxonomy code is 367500000X with license number 085415 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174516132
Provider Name
MR. ANDREW CRAIG JACKSON CRNA
Gender
Male
Entity Type
Individual
Location Address
200 HOSPITAL AVE JEFFERSON, NC 28640
Location Phone
(336) 846-0719
Mailing Address
244 FALLS CREEK RD TODD, NC 28684
Mailing Phone
(336) 877-2047
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
08-25-2005
Last Update Date
10-28-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085415
License State
NC
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2628918MEDICARE OSCAR/CERTIFICATION (06) 
8049903MEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174516132, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 0 + 1 + 1 + 2 + 1 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174516132.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Skilled Nursing Facility
200 HOSPITAL AVE
JEFFERSON, NC 28640
Orthopaedic Surgery
200 HOSPITAL AVE, STE 2
JEFFERSON, NC 28640
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
General Practice
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Hospitalist
200 HOSPITAL AVE
JEFFERSON, NC 28640
Physician Assistant (Medical)
200 HOSPITAL AVE
JEFFERSON, NC 28640
Physician Assistant
200 HOSPITAL AVE
JEFFERSON, NC 28640
Physician Assistant
200 HOSPITAL AVE
JEFFERSON, NC 28640
General Acute Care Hospital (Critical Access)
200 HOSPITAL AVE
JEFFERSON, NC 28640
Nursing Facility/Intermediate Care Facility
200 HOSPITAL AVE
JEFFERSON, NC 28640
Emergency Response System Companies
200 HOSPITAL AVE
JEFFERSON, NC 28640
Dietitian, Registered
200 HOSPITAL AVE
JEFFERSON, NC 28640
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Radiology (Diagnostic Radiology)
200 HOSPITAL AVE, RADIOLOGY DEPARTMENT
JEFFERSON, NC 28640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174516132, enumerated as an "individual" on August 25, 2005.

The provider is located at 200 HOSPITAL AVE JEFFERSON, NC 28640 and the phone number is (336) 846-0719.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.