Active NPI
Glen Roland Horne, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9397267
- Practice address
- 2525 Desales Ave
Chattanooga, TN 37404-1161 - Phone
- (423) 206-5040
- NPI assigned
- Nov 13, 2006
- Last updated
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000521435B | Medicaid | GA | |
| 20-02624 | Other | GA | UNITED HEALTHCARE |
| 430010318 | Other | GA | TRI-CARE |
| 52159539-001 | Other | GA | BLUE CROSS BLUE SHIELD |
| 9975585 | Other | GA | UNIVERSAL HEALTHCARE |
| 156961100 | Other | GA | U.S. DEPT OF LABOR |
| 430010318 | Other | GA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TN
Enrollment records 2
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 100
- 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.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9397267 | FL | MD | Certified Registered Nurse Anesthetist |
| 110691 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| United Hospital Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Crna Associates, P.C. | Current | Accepting new patients | |
| Ips of Conyers LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northwest Allied Anesthesia Inc | Past | Accepting new patients | |
| Okefenokee Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northwest Allied Anesthesia Inc. | Past | 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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Specialist
- Chattanooga, TN
- NPI 1942233150
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- Certified Registered Nurse Anesthetist
- Conyers, GA
- NPI 1245503515
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1871861823
Nurse Anesthetist, Certified Registered
-
- Specialist
- Kennesaw, GA
- NPI 1366585846
-
- Anesthesiology Physician
- Sandy Springs, GA
- NPI 1639466980
-
- Certified Registered Nurse Anesthetist
- Waycross, GA
- NPI 1538403324
Nurse Anesthetist, Certified Registered
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.