Gary L Collins, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rogersville, TN
NPI 1043205255 · NPPES record last updated Feb 29, 2008
Key facts
- NPI
- 1043205255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN0000053813 (TN)
- Practice address
- 851 Locust St
Rogersville, TN 37857-2407 - Phone
- (423) 921-7000
- Fax
- (423) 224-3258
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9137 | TN | MD | Pharmacist |
| RN0000053813 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deercreek Anesthesia Consultants PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Hamblen Anesthesia PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000053813 | TN | Yes |
Addresses
Primary practice location
851 Locust St
Rogersville, TN 37857-2407
Mailing address
999 Executive Park Blvd
Suite 201
Kingsport, TN 37660-4632
Phone (423) 224-3250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3602591 | Medicaid | TN | |
| 3050981 | Other | TN | BCBS |
Other providers in Rogersville, TN
- Cherokee Orthotics & Medical Equipment Inc
- Cherokee Physical Therapy, Inc
- Stephen R Cirelli
- Clear Mountain Counseling PLLC
- Closet Chronicles LLC
- Kim A Collinson
- Stephanie Marie Cooper
- Lori A. Correll
- Emily Beth Crawford
- Nancy Anne Crider
All providers in Rogersville, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.