JORDAN O'BANION CAGLAYAN (AA) – Anesthesiologist Assistant, NPI 1144573700
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,383 ANESTHESIOLOGY ASSISTANT in GA
Provider Addresses for JORDAN O'BANION CAGLAYAN (AA)
2000 DAN PROCTOR DR
SAINT MARYS, GA 315583810
Phone: (912) 576-6140
Type: Location
255 W MICHIGAN AVE
PO BOX 1123
JACKSON, MI 492012218
Phone: (800) 516-5315
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.
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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: 2017-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20121226000349 | I | Anesthesiology Assistant | GA | 2023-12-31 |
| I20170705002746 | I | Anesthesiology Assistant | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 28 | 28 | $0 |
| 01214 | Anesthesia for total hip replacement | 22 | 22 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 18 | 17 | $0 |
Insurance plans in this area (ZIP 31558)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY ASSISTANT | GA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | FL | |
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| A N E S T H E S I O L O G Y | GA |
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