ZACKARY JAKE WHITAKER CRNA NPI 1518204486

NPI Information

  • NPI: 1518204486
  • Provider Name: ZACKARY JAKE WHITAKER, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 47 INDIAN SPRINGS DR
    FORSYTH, GA
    ZIP 31029
  • Phone: (888) 728-0882

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NPI Details

Zackary Jake Whitaker, CRNA is a nurse anesthetist certified registered in Forsyth, GA with 13 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Zackary Jake Whitaker, CRNA NPI is 1518204486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

47 INDIAN SPRINGS DR
FORSYTH, GA
ZIP 31029-077
Phone: (888) 728-0882
Fax: (478) 974-0110

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on urinary system through urethra (HCPCS:00910)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of anesthetic agent and/or steroid into thigh nerve (HCPCS:64447)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01938)
  • Anesthesia for nerve block and injection procedure, prone position (HCPCS:01992)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS:01942)
  • Anesthesia for other procedure or exam of knee joint using an endoscope (HCPCS:01400)

The enumeration date for this NPI number is 1/11/2013 and was last updated on 1/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN188133GEORGIANo
2367500000XNurse Anesthetist, Certified RegisteredRN188133GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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