MRS. JERILYN MICHELLE MCCORMICK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1588990527

MRS. JERILYN MICHELLE MCCORMICK (CRNA) is a healthcare provider. based in Lawrenceville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 814063-01 (NY). The NPI Number for MRS. JERILYN MICHELLE MCCORMICK (CRNA) is 1588990527

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JERILYN MICHELLE MCCORMICK (CRNA)
NPI
1588990527
Phone
(678) 312-1000
Address
1000 MEDICAL CENTER BLVD
Enumeration Date
27 October 2009
Last Update Date
20 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042426360
Graduation Year
2009 (17 years ago)
PAC ID
4789722620
Group Practice PAC ID
5991193088
Professional Enrollment ID
I20220111002224
Address ID
GA300765710RO1357XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:16State licenses:4Digital endpointsOther names

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

Provider Addresses for MRS. JERILYN MICHELLE MCCORMICK (CRNA)

  • 1000 MEDICAL CENTER BLVD

    LAWRENCEVILLE, GA 300467694

    Phone: (678) 312-1000

    Fax: (678) 312-3282

    Type: Location

  • 5415 S McColl Rd

    Edinburg, TX 785399183

    Phone: (956) 661-0529

    Fax: (956) 618-4639

    Type: Location

  • 736 Cambridge St

    Boston, MA 021352907

    Phone: (617) 789-2797

    Type: Location

  • Boston Medical Center – Brighton, 736, Cambridge Street, Brighton Center, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    BOSTON, MA 021352907

    Phone: (617) 789-2797

    Type: Location

  • 603, Bridge Street, Weymouth, Norfolk County, Massachusetts, 02191, United States

    WEYMOUTH, MA 021911851

    Phone: (956) 605-5113

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($48).

Total Amount

$143

General + Research + Ownership

Payments

6

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

Latest reported date

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: 2022-01-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220111002224ICertified Registered Nurse Anesthetist (Crna)GATBD

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
01992Anesthesia for nerve block and injection procedure, prone position1918$0
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1817$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 5991193088View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YMS
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YGA
Anesthesiology, Pain ManagementGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JERILYN MICHELLE MCCORMICK (CRNA)?
MRS. JERILYN MICHELLE MCCORMICK (CRNA) — NPI 1588990527 — is the standard way to identify this listing.
Is MRS. JERILYN MICHELLE MCCORMICK (CRNA) listed as active for patients and plans?
The listing shows MRS. JERILYN MICHELLE MCCORMICK (CRNA) as active in the NPI system.
What healthcare role does MRS. JERILYN MICHELLE MCCORMICK (CRNA) hold?
Scheduling teams often label MRS. JERILYN MICHELLE MCCORMICK (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JERILYN MICHELLE MCCORMICK (CRNA) on a map?
Expect Lawrenceville, Georgia as a primary anchor for MRS. JERILYN MICHELLE MCCORMICK (CRNA) unless the record lists multiple sites.
Is the information about MRS. JERILYN MICHELLE MCCORMICK (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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