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.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larette Denise Jackson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
14Medicare enrollment records show Larette Jackson reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 201 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 83 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Mulkey Anesthesiology Associates, PC
- 112 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 73 clinicians in this Medicare group
Atlanta, GA 30328
- Reassigned Medicare billing, Georgia enrollment
- 90 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 42 clinicians in this Medicare group
Alpharetta, GA 30005
- Reassigned Medicare billing, Georgia enrollment
- 26 clinicians in this Medicare group
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 650 clinicians in this Medicare group
Peachtree City, GA 30269
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 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.
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 enrollment system.
Which organizations bill Medicare for Larette Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larette Jackson reassigns Medicare benefits to 14 organizations: Concordia Anesthesiology, Inc (Atlanta, GA), Greater Atlanta Anesthesia, LLC (Atlanta, GA), Ispm ASC At Piedmont, LLC (Atlanta, GA), Radius Anesthesia Of Georgia LLC (Atlanta, GA), North Fulton Anesthesia Associates PC (Atlanta, GA) and 9 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 Larette Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larette Jackson accept?
Health plans from Oscar Health list Larette 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 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 in Medicare (PECOS)
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Concordia Anesthesiology, Inc (NPI 1619296464, Atlanta, GA); Greater Atlanta Anesthesia, LLC (NPI 1285043158, Atlanta, GA); Ispm ASC At Piedmont, LLC (NPI 1215275227, Atlanta, GA); Radius Anesthesia Of Georgia LLC (NPI 1861996225, Atlanta, GA); North Fulton Anesthesia Associates PC (NPI 1467445262, Atlanta, GA); and 9 more · CMS Revalidation Reassignment List, October 2026 release
## 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.