JESSICA HATFIELD RANDALL CRNA
NPI 1710553474
Nurse Anesthetist, Certified Registered in Kennesaw, GA
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
Specialties & Licenses
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
Jessica Hatfield Randall 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 571 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KENNESAW, GA 30152
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Randall reassigns Medicare benefits to 2 organizations: Mak Anesthesia Holdings LLC (Kennesaw, GA) and North Atlanta Anesthesia Professionals, LLC (Atlanta, GA). 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 Jessica Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Randall affiliated with any hospitals?
According to CMS data, Jessica Randall is affiliated with Northside 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 16 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.
# Jessica Hatfield Randall, CRNA · NPI 1710553474
Nurse Anesthetist, Certified Registered physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1710553474 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN291404 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152-4402
- **Phone:** (770) 702-1806
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); North Atlanta Anesthesia Professionals, LLC (NPI 1982349296, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1710553474) · Data from the CMS NPPES public registry.