JESSICA HATFIELD RANDALL CRNA
NPI 1710553474
Nurse Anesthetist, Certified Registered in Kennesaw, GA

Active since June 02, 2021
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Jun 2, 2021 (2 updates tracked since 2021).

About Jessica Hatfield Randall Crna NPPES

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

JESSICA HATFIELD RANDALL CRNA (NPI 1710553474) is an individual nurse anesthetist, certified registered in Kennesaw, Georgia, licensed in Georgia (RN291404) and active in the NPI registry since June 2021. She is affiliated with Northside Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710553474
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJESSICA HATFIELD RANDALLCredential: CRNA
Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402
Mailing Address465 Old Creek RdAtlanta, GA 30342-2755 · (205) 743-8655
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1710553474 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 · RN291404 Licensed in GA · 133695
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.
1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Hatfield Randall Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385044379
PECOS Enrollment IDI20210614000334

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 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

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.

Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Nurse Practitioner
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152

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 Jessica Randall's NPI number?

The NPI number for Jessica Randall is 1710553474. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Jessica Randall located?

Jessica Randall practices at 1300 Ridenour Blvd NW Ste 300, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Jessica Randall's specialty?

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

Is Jessica Randall enrolled in Medicare?

Yes. Jessica Randall is registered in the Medicare PECOS enrollment system.

Is Jessica Randall affiliated with any hospitals?

According to CMS data, Jessica Randall is affiliated with Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Randall was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.