Jessica Gordon, CRNA
NPI 1164104899ActiveIndividual· Nurse Anesthetist, Certified Registered· Myrtle Beach, SC
Nurse Anesthetist, Certified Registered (CRNA) with Atlantic Coast Anesthesia Services PC, practicing in Myrtle Beach, South Carolina. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Grand Strand Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1164104899 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Aug 2, 2023 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 29864 | SC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (SC) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Atlantic Coast Anesthesia Services PCMyrtle Beach, SC · 68 clinicians
Hospital affiliation
- Grand Strand Regional Medical CenterMyrtle Beach, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 nurse anesthetists in Myrtle Beach · All nurse anesthetists in South Carolina