Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Douglas Gouge

Individual provider Registered Nurse · NPI 1053878603

Jared Douglas Gouge is a Certified Registered Nurse Anesthetist (CRNA) in Old Fort, North Carolina. Qualified in 2019, 7 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019

Practice location Address checks out

249 Laurel Ridge Dr
Old Fort, NC 28762-9712
Phone: (828) 442-9429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 233191 (NC)

Record details

NPI number1053878603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice East Carolina Anesthesia Associates Pllc — 680 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Old Fort