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

Jacob Warren Walker, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1578397055

Jacob Warren Walker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tifton, Georgia. Qualified in 2024, 2 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Fax: (229) 391-4059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 260 Mj Taylor Rd, Adel, GA 31620-3485 — (229) 896-8000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN291630 (GA)

Record details

NPI number1578397055
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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