JACK POWELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023489937

JACK POWELL (CRNA) is a healthcare provider. based in Snellville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN202066 (GA). The NPI Number for JACK POWELL (CRNA) is 1023489937

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JACK POWELL (CRNA)
NPI
1023489937
Phone
(678) 344-8900
Address
1557 Janmar Rd
Enumeration Date
19 October 2015
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4236390941
Graduation Year
2016 (10 years ago)
PAC ID
5294031878
Group Practice PAC ID
9931594942
Professional Enrollment ID
I20230612001960
Address ID
NC289066843MU3990XALTX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for JACK POWELL (CRNA)

  • 1557 Janmar Rd

    Snellville, GA 30078

    Phone: (678) 344-8900

    Fax: (678) 666-5201

    Type: Location

  • 1557 JANMAR RD

    SNELLVILLE, GA 300785686

    Phone: (678) 344-8900

    Fax: (678) 666-5201

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Abbott Laboratories ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$14
View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160308001231ICertified Registered Nurse Anesthetist (Crna)GATBD
I20230612001960ICertified Registered Nurse Anesthetist (Crna)NCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2219$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2020$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931594942View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What federal number belongs to JACK POWELL (CRNA)?
The federal identifier for JACK POWELL (CRNA) is NPI 1023489937.
Is JACK POWELL (CRNA) currently active in the NPI registry?
CMS-published data lists JACK POWELL (CRNA) as an active registrant.
Can you summarize JACK POWELL (CRNA)'s specialty in plain language?
Clinically, the directory lists JACK POWELL (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JACK POWELL (CRNA)?
The snapshot lists Snellville, Georgia for JACK POWELL (CRNA); download NPPES for the complete set.
How can I contact JACK POWELL (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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