Jacob Paulk is a Tifton, Georgia based nurse anesthetist with 15 years of experience as Anesthesia Administration. He completed he graduation in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacob Paulk is RN181759 for Anesthesia Administration in Georgia. his current practice location is 901 18th St E, Tifton. Patients can reach him at 229-353-6124 or can fax him at 229-353-7722. Jacob Paulk is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1215227202. Jacob Paulk is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jacob Paulk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
901 18th St E, Tifton, Georgia, 31794-3648
Phone:
229-353-6124
Fax:
229-353-7722
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062687312
Enrollment ID:
I20111214000879
NPI Number:
1215227202
NPI Enumeration Date:
12 Apr, 2011
NPI Last Update On:
16 Dec, 2020
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Paulk are as mentioned below.
License Number
Specialization
State
Status
RN181759
Anesthesia Administration
Georgia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Coffee Regional Medical Center, Inc (110089)
Douglas, GA
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jacob Paulk has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Coffee Regional Medical Center Inc (4587656012)
32
Southern Sleepers Anesthesia Llc (3870876469)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob Paulk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
RN181759
Other
Georgia
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
209 Tillman Paulk Rd, Ambrose, Georgia
Zip:
31512-3486
Phone Number:
229-548-5137
Fax Number:
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Patients can reach Jacob Paulk at 901 18th St E, Tifton, Georgia or can call to book an appointment on 229-353-6124.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.