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MR. ELLIS R JACKSON CRNA
NPI 1659362283
Nurse Anesthetist, Certified Registered in Macon, GA

Active since November 02, 2005Accepts Medicare Assignment
610 3RD ST, MACON, GA 31201(229) 344-6080(229) 436-8649 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ellis R Jackson Crna NPPES

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

MR. ELLIS R JACKSON CRNA (NPI 1659362283) is an individual nurse anesthetist, certified registered in Macon, Georgia, licensed in Georgia (RN066377) and active in the NPI registry since November 2005. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1659362283
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ELLIS R JACKSONCredential: CRNA
Location Address610 3RD STMacon, GA 31201-3294
Mailing Address427 Fussell RdLeesburg, GA 31763-5210 · (229) 344-6080 · Fax (229) 436-8649
Phone(229) 344-6080
Fax(229) 436-8649
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 2, 2005
Last NPPES UpdateApril 12, 2017
✔ NPI 1659362283 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
License✔ Licensed in GA · RN066377
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.
610 3RD ST, Macon, GA 31201
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Other Identifiers 4

Medicare UPINP43966
Medicaid334081730AGA
Medicare PIN43ZCCCR03GA
OtherP00220709GA · Rr Medicare

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

Mr. Ellis R 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 ID9436123783
PECOS Enrollment IDI20040823000699

Areas of Expertise CMS Part B claims 4

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
76 services75 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
61 services61 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
56 services56 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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.

Other Providers at the Same Location NPPES 16

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

EMILY HUCKABY ARNOLD PHYSICIANS ASSISTANC
Physician Assistant (Medical)
610 3RD ST, SUITE 200
MACON, GA 31201
Bibb County (478) 464-2600
SYNTHESIS PATHOLOGY, LLC
Clinical Medical Laboratory
610 3RD ST, SUITE 206
MACON, GA 31201
Bibb County (478) 464-2600
LAUREN MATHEWS DYKES NP-C
Nurse Practitioner (Family)
610 3RD ST, SUITE 204
MACON, GA 31201
Bibb County (478) 464-2600
MISS KAYLA MELISSA HOLLOWAY NP-C
Nurse Practitioner (Family)
610 3RD ST
MACON, GA 31201
Bibb County (478) 464-2600
DR. HAROLD BRUCE HARRISON MD
Internal Medicine (Gastroenterology)
610 3RD ST
MACON, GA 31201
Bibb County (478) 464-2600
BARBARA W LATHROP NP
Nurse Practitioner
610 3RD ST, STE 101
MACON, GA 31201
Bibb County (478) 464-2600
SARAH PITTARD HOBBS NP-C
Nurse Practitioner
610 3RD ST, SUITE 204
MACON, GA 31201
Bibb County (478) 464-2600
CHRISTINA NICOLE BURGESS
Nurse Practitioner (Family)
610 3RD ST
MACON, GA 31201
Bibb County (478) 202-8691

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 Ellis Jackson's NPI number?

The NPI number for Ellis Jackson is 1659362283. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Ellis Jackson located?

Ellis Jackson practices at 610 3rd St, Macon, GA 31201. The listed phone number is (229) 344-6080.

What is Ellis Jackson's specialty?

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

Is Ellis Jackson enrolled in Medicare?

Yes. Ellis 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.

When was this NPI record last updated?

The NPPES record for Ellis Jackson was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.