Jared B Deraney (NPI# 1477518983, PAC ID# 7214975432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1477518983 |
| PAC ID by PECOS | 7214975432 |
| Professional Enrollment ID | I20050419000872 |
| Full Name | Jared B Deraney |
| Organization Legal Name | ECLAT ANESTHESIA |
| Address |
4714 Oakleigh Manor Dr Powder Springs GA 30127-4923 |
| Phone Number | 7706885334 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5698001162 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 7706885334 | ECLAT ANESTHESIA |
| 1879 Nightingale Lane, Suite A 1, Tavares, FL 32778-4363 | 3527421171 | QUIESCENCE ANESTHESIA LLC |
| Organization Legal Name | ECLAT ANESTHESIA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Harden | Certified Registered Nurse Anesthetist (crna) | Eclat Anesthesia | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 |
| James G Underwood | Certified Registered Nurse Anesthetist (crna) | Eclat Anesthesia | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 |
| Street Address |
4714 OAKLEIGH MANOR DR |
| City | POWDER SPRINGS |
| State | GA |
| Zip | 30127-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Harden | Certified Registered Nurse Anesthetist (crna) | Eclat Anesthesia | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 |
| James G Underwood | Certified Registered Nurse Anesthetist (crna) | Eclat Anesthesia | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred J Roberto | Chiropractic | 5041 Dallas Hwy, Suite 500, Powder Springs, GA 30127 | |
| Michael W Christa | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Jeffrey L Cox | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Lindsay Richardson | Nurse Practitioner | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Margaret Muthoni Ngumi | Nurse Practitioner | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Jeremy Boyd | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Douglas Campbell | Internal Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Marsha Joan Cheshire | Pediatric Medicine | Georgia Clinic, PC | 4045 Lindley Cir, Suite B, Powder Springs, GA 30127-2765 |
| Pei Tan | Nurse Practitioner | Piedmont Professional Services, LLC | 5230 Dallas Hwy, Powder Springs, GA 30127-4263 |
| Lisa L Stacy | Physical Therapy | 5179 Marsden Trce, Powder Springs, GA 30127-4321 | |
| Find all physicians in zip 30127 | |||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | POWDER SPRINGS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.