Jacob Theodore Tuttle, CRNA
NPI 1689489502ActiveIndividual· Registered Nurse· Atlanta, GA
Registered Nurse (CRNA) with Choa Hospital Based, LLC, practicing in Atlanta, Georgia. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1689489502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 10, 2025 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | RN292693 | GA |
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) (GA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Choa Hospital Based, LLCAtlanta, GA · 96 clinicians
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