Jackson Medical Services
NPI 1396063012ActiveOrganization· Nurse Anesthetist, Certified Registered· Jackson, TN
Nurse Anesthetist, Certified Registered in Jackson, Tennessee, registered in NPPES in May 2010. The authorized official on file is Bob Souder, Owner.
Overview
| NPI | 1396063012 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2010 |
| Last updated in NPPES | Aug 31, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Anesthetist, Certified Registered providers in Jackson
- 1215923891
- 1427137280
- 1174859698
- 1861488595
- 1477619724
- 1063408797
- 1922746239
- 1770001646
- 1770131856
- 1205269305
- 1578728119
- 1033748082
All Nurse Anesthetist, Certified Registered providers in Tennessee →