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

Zackary Jake Whitaker, CRNA

Individual provider Registered Nurse · NPI 1518204486

Zackary Jake Whitaker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Forsyth, Georgia. Graduated from Mercer University School of Medicine in 2012, 14 years ago. Practices with Valdosta Anesthesia Associates, PC, a 43-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2013
Specialties on file
2
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

47 Indian Springs Dr
Forsyth, GA 31029-2077
Phone: (888) 728-0882
Fax: (478) 974-0110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN188133 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN188133 (GA)

Record details

NPI number1518204486
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 11, 2013
Last updated in NPPESJanuary 11, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Valdosta Anesthesia Associates, P.C. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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