Mr. Ellis R Jackson
CRNA | Nurse Anesthetist
610 3rd St, Macon
Georgia, 31201-3294
229-344-6080
Mr. Ellis R Jackson is a Macon, Georgia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. Ellis R Jackson is RN066377 for Anesthesia Administration in Georgia. his current practice location is 610 3rd St, Macon. Patients can reach him at 229-344-6080 or can fax him at 229-436-8649. Mr. Ellis R Jackson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1659362283.
Mr. Ellis R Jackson 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:
Mr. Ellis R Jackson 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 |
| Gender: | Male |
| Practice Address: | 610 3rd St, Macon,
Georgia, 31201-3294 |
| Phone: | 229-344-6080 |
| Fax: | 229-436-8649 |
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.
| NPI Number: | 1659362283 |
| NPI Enumeration Date: | 02 Nov, 2005 |
| NPI Last Update On: | 12 Apr, 2017 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ellis R Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| RN066377 | Anesthesia Administration | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ellis R Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 334081730A | Medicaid | Georgia | |
| P00220709 | Other | Georgia | RR MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 427 Fussell Rd,
Leesburg, Georgia |
| Zip: | 31763-5210 |
| Phone Number: | 229-344-6080 |
| Fax Number: | 229-436-8649 |
Patients can reach Mr. Ellis R Jackson at
610 3rd St, Macon, Georgia or can
call to book an appointment on 229-344-6080.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.