MRS. JANNINE GUNDERSEN TAYLOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073625588

MRS. JANNINE GUNDERSEN TAYLOR (CRNA) is a healthcare provider. based in Peachtree city, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 145037 (GA). The NPI Number for MRS. JANNINE GUNDERSEN TAYLOR (CRNA) is 1073625588

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JANNINE GUNDERSEN TAYLOR (CRNA)
NPI
1073625588
Phone
(678) 592-6633
Address
115 SWEETWATER OAKS
Enumeration Date
31 August 2006
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704429856
Graduation Year
2004 (22 years ago)
PAC ID
4183679160
Group Practice PAC ID
5890116032
Professional Enrollment ID
I20050314000528
Address ID
GA300607249MA165XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for MRS. JANNINE GUNDERSEN TAYLOR (CRNA)

  • 115 SWEETWATER OAKS

    PEACHTREE CITY, GA 302692110

    Phone: (678) 592-6633

    Type: Mailing

  • 121, Fountain Head, Belle Grove, Raintree East, Peachtree City, Fayette County, Georgia, 30269, United States

    PEACHTREE CITY, GA 302692241

    Phone: (678) 592-6633

    Type: Mailing

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: 2009-10-15

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
I20050314000528ICertified Registered Nurse Anesthetist (Crna)GATBD
I20091015000327ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 surgery261229$0
01930Anesthesia for other x-ray on vein or lymph system3733$0
01844Anesthesia for placement or revision of blood flow shunt1515$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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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: 5890116032View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is there an official ID for MRS. JANNINE GUNDERSEN TAYLOR (CRNA) in U.S. healthcare records?
The official identifier for MRS. JANNINE GUNDERSEN TAYLOR (CRNA) is NPI 1073625588.
Would MRS. JANNINE GUNDERSEN TAYLOR (CRNA) appear as active to a payer?
You can treat MRS. JANNINE GUNDERSEN TAYLOR (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. JANNINE GUNDERSEN TAYLOR (CRNA)?
MRS. JANNINE GUNDERSEN TAYLOR (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MRS. JANNINE GUNDERSEN TAYLOR (CRNA) associated with Peachtree City?
Public fields place MRS. JANNINE GUNDERSEN TAYLOR (CRNA) around Peachtree City, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. JANNINE GUNDERSEN TAYLOR (CRNA) is noted as August 31, 2006 where the registry provides it.

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