JACOB C CARROLL (NPI# 1982149621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982149621 |
| Entity Type | Individual |
| Full Name | JACOB C CARROLL |
| Credential | CRNA |
| Practice Address |
935 Wayne Rd Savannah TN 38372 |
| Mailing Address |
183 Union Ave Jackson TN 38301-6036 |
| Practice Telephone | 7319268000 |
| Mailing Telephone | 7319260431 |
| Mailing Fax Number | 7315417075 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 22130 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 Skyline Dr, Jackson, TN 383013923 | 7315417070 | 7315417075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192663 | Jacob R Carroll | Dentist | 20100 N 51st Ave, Suite C-310, Glendale, AZ 85308-5125 | 2012-04-10 |
| Street Address |
935 WAYNE RD |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368672 | James Henry Algeo Jr. | Radiology | 935 Wayne Rd, Savannah, TN 38372-1904 | 2006-04-27 |
| 1003478702 | Autumn Ballard | Occupational Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-07-02 |
| 1184187254 | Coastal Medical and Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-04-07 |
| 1821561176 | Melissa Jackson | Physical Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-09 |
| 1467925917 | Candy Smith | Speech-Language Pathologist | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-08 |
| 1114490661 | Brandilyn Hart | Physical Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-08 |
| 1194298778 | Nicole Hill | Occupational Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-07 |
| 1336612241 | Colten Harris Taylor | Physical Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-03 |
| 1134575681 | Jordan Matthew Clayton | Nurse Practitioner | 935 Wayne Rd, Savannah, TN 38372-1904 | 2016-05-13 |
| 1114373362 | Felicia Balding | Dietitian, Registered | 935 Wayne Rd, Savannah, TN 38372-1904 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164964060 | Jada Akins Lee | Nurse Anesthetist, Certified Registered | 400 Mall Blvd Ste T, Savannah, GA 31406-4861 | 2016-11-08 |
| 1316226079 | Roshanda A Mckinney | Nurse Anesthetist, Certified Registered | 6605 Abercorn St., Suite 108, Savannah, GA 31405-5896 | 2011-08-12 |
| 1104962125 | J&l Anesthesia Inc | Nurse Anesthetist, Certified Registered | 736 Wilmington Island Rd, Suite A, Savannah, GA 31410-4502 | 2007-01-29 |
| 1699875237 | Christina Renae Zavatchen | Nurse Anesthetist, Certified Registered | 2006 Wayne Rd, Savannah, TN 38372-2236 | 2006-09-24 |
| 1942311428 | Richard Eugene Douberly Jr. | Nurse Anesthetist, Certified Registered | 8406 Marcus Pl, Savannah, GA 31406-4939 | 2006-08-31 |
| 1942219142 | Marci A Burris | Nurse Anesthetist, Certified Registered | 4 Briarberry Cv, Savannah, GA 31406-3295 | 2006-08-05 |
| 1588673784 | Mary Elizabeth Curtsinger | Nurse Anesthetist, Certified Registered | 226 Commodore Dr, Savannah, GA 31410-3411 | 2006-08-05 |
| 1174556476 | Martha Dukes Kral | Nurse Anesthetist, Certified Registered | 803 Suncrest Blvd, Savannah, GA 31410-1316 | 2006-07-09 |
| 1851347199 | Lori Stensloff | Nurse Anesthetist, Certified Registered | 49 Mcgrew Ln, Savannah, TN 38372-6761 | 2006-05-26 |
| 1780673459 | Raymond Jeffery Grooms | Nurse Anesthetist, Certified Registered | 5500 Waters Ave, Savannah, GA 31404-6236 | 2005-10-17 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.