Jacob Taylor Youmans, CRNA | |
247 S Main St, Reidsville, GA 30453-4605 | |
(516) 945-3000 | |
(704) 248-5537 |
Full Name | Jacob Taylor Youmans |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 247 S Main St, Reidsville, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275203689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NCO-000002 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN254883 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Navicent Health Baldwin | Milledgeville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenland Anesthesia Management, Llc | 2668886425 | 8 |
Radiance Anesthesia | 5890116032 | 9 |
Entity Name | Macon Gastroenterology Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922463132 PECOS PAC ID: 3274835004 Enrollment ID: O20160111000839 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
Entity Name | Radiance Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
Entity Name | Greenland Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740885383 PECOS PAC ID: 2668886425 Enrollment ID: O20210208000155 |
Mailing Address | Practice Location Address |
---|---|
Jacob Taylor Youmans, CRNA Po Box 945375, Atlanta, GA 30394-5375 Ph: (516) 945-3000 | Jacob Taylor Youmans, CRNA 247 S Main St, Reidsville, GA 30453-4605 Ph: (516) 945-3000 |
Clayborne Fulchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-664-5303 | |
Michael Lockley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 | |
Mrs. Janet Paulette Cohen Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 |