Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Theodore Tuttle, CRNA

Individual provider Registered Nurse · NPI 1689489502

Jacob Theodore Tuttle, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Atlanta, Georgia. Qualified in 2025, 1 year ago. Practices with Choa Hospital Based, LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1520 Clifton Rd NE Ofc 117
Atlanta, GA 30322-4201
Phone: (404) 727-6946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN292693 (GA)

Record details

NPI number1689489502
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 9, 2025
Mailing address1967 Cobblestone Cir Ne, Brookhaven, GA 30319-4906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Choa Hospital Based, Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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