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

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: October 18, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

8

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology Associates Of Tallahassee, Inc.
57 mi
Anesthesiology
2629 WELAUNEE BLVD
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 171 clinicians in this Medicare group
NPI 1386469385 (954) 939-5000
Hospitalist Medicine Physicians Of Georgia - Tcs, PC
91 mi
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
NPI 1033926191 (706) 571-1000
Columbus Anesthesia Partners LLC
91 mi
Anesthesiology
1130 TALBOTTON RD STE B
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1366742538 (706) 641-6900
Amsol Anesthetists Of Georgia, LLC
95 mi
Nurse Anesthetist, Certified Registered
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama enrollment
  • 128 clinicians in this Medicare group
NPI 1649224775 (706) 494-2100
Premier Anesthesia Of Montgomery PC
121 mi
Anesthesiology
2105 EAST SOUTH BLVD
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 214 clinicians in this Medicare group
NPI 1780636233 (770) 643-5500
Sentry Anesthesia Management, LLC
153 mi
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
NPI 1134544794 (770) 251-2060
Ams Southeast LLC
157 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Georgia enrollment
  • 191 clinicians in this Medicare group
NPI 1487107157 (866) 653-2540
Greater Florida Anesthesiologists, LLC
240 mi
Anesthesiology
9441 HEALTH CENTER DR
Land O Lakes, FL 34637
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group
NPI 1689398729 (813) 903-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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
Surgery
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4200
THE HOSPITAL AUTHORITY OF MILLER COUNTY
General Acute Care Hospital (Critical Access)
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4200
MS. STAMEY SELESTE COOK FNP-C
Nurse Practitioner (Family)
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4295
MADISEN RATHEL MILLER
Pharmacist
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4228
DR. ELNAZ BALASHI MD
Internal Medicine (Rheumatology)
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 281-6096
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Medicare Defined Swing Bed Unit
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4200
MRS. STEPHANIE BROCK NUNNERY RD, LD
Dietitian, Registered
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4307
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Skilled Nursing Facility
209 N CUTHBERT ST
COLQUITT, GA 39837
Miller County (229) 758-4212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Amanda Jackson located?

Amanda Jackson practices at 209 N Cuthbert St, Colquitt, GA 39837. The listed phone number is (229) 758-4212.

What is Amanda Jackson's specialty?

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

Is Amanda Jackson enrolled in Medicare?

Yes. Amanda Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to 8 organizations: Anesthesiology Associates Of Tallahassee, Inc. (Tallahassee, FL), Hospitalist Medicine Physicians Of Georgia - Tcs, PC (Columbus, GA), Columbus Anesthesia Partners LLC (Columbus, GA), Amsol Anesthetists Of Georgia, LLC (Columbus, GA), Premier Anesthesia Of Montgomery PC (Montgomery, AL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Jackson accept?

Health plans from Alliant Health Plans, Inc. list Amanda Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.