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

Individual provider Certified Registered Nurse Anesthetist · NPI 1205866142

Keith E Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tuscaloosa, Alabama. Qualified in 2000, 26 years ago. Practices with Patriot Perioperative Partners, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
26
Licensed in
AL
In the registry since
2006
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

100 Rice Mine Rd N
Tuscaloosa, AL 35406-2300
Phone: (205) 354-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-080730 (AL)

Record details

NPI number1205866142
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Patriot Perioperative Partners, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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