AMANDA JACKSON CRNA
NPI 1629590898
Nurse Anesthetist, Certified Registered in Colquitt, GA

Q: What is Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1629590898. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2017Accepts Medicare Assignment

75/100

CMS Quality Rating

209 N CUTHBERT ST, COLQUITT, GA 39837(229) 758-4212 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Amanda Jackson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JACKSON CRNA (NPI 1629590898) is an individual nurse anesthetist, certified registered in Colquitt, Georgia, licensed in Georgia (RN195072) and active in the NPI registry since July 2017. She maintains a secondary practice location in Moultrie and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629590898

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameAMANDA JACKSONCredential: CRNA

Location Address209 N CUTHBERT STColquitt, GA 39837-3518

Mailing AddressPo Box 8866Greensboro, NC 27419-0866 · (866) 237-8936

Phone(229) 758-4212

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 10, 2017

Last NPPES UpdateJune 24, 2022

NPPES CertifiedJune 24, 2022

✔ NPI 1629590898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in GA · RN195072✔ Licensed in FL · APRN11019451

Definition

(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.

209 N CUTHBERT ST, Colquitt, GA 39837

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Secondary Practice Location 1

Location 13131 S Main StMoultrie, GA 31768-6925 · Phone (229) 985-3420

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Jackson Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547238313

PECOS Enrollment IDI20171213001575, I20241008003031

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONEIL CULVER MD

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