LARETTE DENISE JACKSON CRNA
NPI 1952360851
Nurse Anesthetist, Certified Registered in Atlanta, GA
About Larette Denise Jackson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARETTE DENISE JACKSON CRNA (NPI 1952360851) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN104440) and active in the NPI registry since March 2006. She is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Larette Denise 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30339 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.
ATLANTA, GA 30339
ATLANTA, GA 30339
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 Larette Jackson's NPI number?
The NPI number for Larette Jackson is 1952360851. It was assigned to this individual provider in the NPPES registry on March 20, 2006.
Where is Larette Jackson located?
Larette Jackson practices at 2451 Cumberland Pkwy SE Ste #3414, Atlanta, GA 30339. The listed phone number is (832) 283-7792.
What is Larette Jackson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Larette Jackson enrolled in Medicare?
Yes. Larette 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 Larette Jackson was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Larette Denise Jackson, CRNA · NPI 1952360851
Nurse Anesthetist, Certified Registered physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 20, 2006.
## Identity
- **NPI:** 1952360851 (Entity type: Individual)
- **Enumerated:** March 20, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN104440 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2451 CUMBERLAND PKWY SE, STE #3414, Atlanta, GA 30339-6136
- **Phone:** (832) 283-7792
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** February 18, 2009
- **Other identifiers:** Medicare PIN 511I430454 (GA); Medicare ID-Type Unspecified 43ZCCCT09 (GA); Medicaid 000887928 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1952360851) · Data from the CMS NPPES public registry.