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

Individual provider Certified Registered Nurse Anesthetist · NPI 1659362283

Mr. Ellis R Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Macon, Georgia. Qualified in 1991, 35 years ago. Practices with Macon Gastroenterology Anesthesia Associates LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Licensed in
GA
In the registry since
2005
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

610 3rd St
Macon, GA 31201-3294
Phone: (229) 344-6080
Fax: (229) 436-8649
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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 RN066377 (GA)

Record details

NPI number1659362283
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESApril 12, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Macon Gastroenterology Anesthesia Associates Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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