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

Randy Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1407470719

Randy Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Ohio. Graduated from Jc Edwards School of Medicine, Marshall University in 2020, 6 years ago. Practices with Premier Anesthesia of Ohio LLC, a 128-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
OH
In the registry since
2020
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

280 Pattonsville Rd
Jackson, OH 45640-9452
Phone: (740) 446-5000
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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 APRN.CRNA.0020099 (OH)

Record details

NPI number1407470719
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address90 Jackson Pike, Gallipolis, OH 45631-1560

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Premier Anesthesia Of Ohio Llc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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