JARED MCKINLEY GRANTHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134464506
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL
Provider Addresses for JARED MCKINLEY GRANTHAM (CRNA)
PO BOX 1928
DOTHAN, AL 363021928
Phone: (334) 793-8087
Fax: (334) 793-8191
Type: Mailing
1108 ROSS CLARK CIR
DOTHAN, AL 363013022
Phone: (334) 793-8087
Fax: (334) 793-8191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180316001671 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 36302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | AL | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 22 | 22 |
| CERTIFIED REGISTERED NURSE ANESTHET | AL | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice, General Surgery, Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| O T O L A R Y N G O L O G Y | FL |
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