NPI age
15 years
Enumerated 2011-04-12
● Active
Type 1 · Individual
Jacob Paulk, CRNA
Paulk is 1 of 31 nurse anesthetist, certified registered providers in Tifton and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Practice location
901 18th St E
Tifton, GA 317943648
Mailing address
209 Tillman Paulk Rd
Ambrose, GA 315123486
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN181759 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 169 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse anesthetist, certified registered provider has been added in Tifton in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 2157 Nurse Anesthetist, Certified Registered providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.