Individual provider Active NPI

Glen Roland Horne, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1013088194
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9397267 Issued in FL
Practice address
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone
(423) 206-5040
NPI assigned
Nov 13, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 110691 NC
Certified Registered Nurse Anesthetist 367500000X 9397267 FL Primary

Addresses

Primary practice location

2525 Desales Ave
Chattanooga, TN 37404-1161

Mailing address

5 Calhoun Ave
Unit 606
Destin, FL 32541-5509
Phone (404) 310-6048

Other practice location 1

5 Calhoun Ave
Unit 606
Destin, FL 32541-5509
Phone (404) 310-6048

Other identifiers 7

IdentifierTypeStateIssuer
000521435BMedicaidGA
20-02624OtherGAUNITED HEALTHCARE
430010318OtherGATRI-CARE
52159539-001OtherGABLUE CROSS BLUE SHIELD
9975585OtherGAUNIVERSAL HEALTHCARE
156961100OtherGAU.S. DEPT OF LABOR
430010318OtherGARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240610001145 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648203638 Reassigns benefits to 1 organization
I20250103002494 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648203638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Capital Dr
Suite 2
Knoxville, TN 37922-3572
Phone (865) 546-8040

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9397267FLMDCertified Registered Nurse Anesthetist
110691NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 1, 2025 Accepting new patients
United Hospital Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jan 1, 2025 Accepting new patients
Crna Associates, P.C. CurrentSince Oct 2, 2025 Accepting new patients
Ips of Conyers LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Allied Anesthesia Inc PastSince May 1, 1986 Accepting new patients
Okefenokee Anesthesia Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Allied Anesthesia Inc. PastSince Jul 1, 2013 Accepting new patients
Midstate Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

140 Capital Dr
Ste 2
Knoxville, TN 37922
Phone (865) 251-0338

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1013088194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALHOUN AVE",
            "address_2": "UNIT 606",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415509",
            "telephone_number": "404-310-6048",
            "fax_number": "404-255-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-206-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Calhoun Ave",
            "address_2": "Unit 606",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325415509",
            "country_code": "US",
            "telephone_number": "404-310-6048",
            "fax_number": "404-255-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "GLEN",
        "middle_name": "ROLAND",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "110691",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9397267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521435B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20-02624",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "430010318",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52159539-001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTHCARE",
            "identifier": "9975585",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR",
            "identifier": "156961100",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "430010318",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.