P Praxis·MD
● Active Type 1 · Individual

Amanda Jackson, CRNA

Nurse Anesthetist, Certified Registered·Colquitt, GA· NPI 1629590898 · Enumerated 2017 · 8 years on NPI
Jackson is 1 of 4 nurse anesthetist, certified registered providers in Colquitt and 1 of 2157 in Georgia.
NPI age
8 years
Enumerated 2017-07-10
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-24
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
8 years
↓ 7 yr below median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
209 N Cuthbert St
Colquitt, GA 398373518
📞 2297584212
Mailing address
Po Box 8866
Greensboro, NC 274190866
📞 8662378936

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3131 S Main St
Moultrie, GA 317686925
📞 2299853420

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...
    GA license #RN195072FL license #APRN11019451 taxonomy 367500000X

Practice context

Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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