Johnny Keith Barnes Jr., MSN-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

104762 Issued in TN

Practice address

550 Fort Loudoun Medical Center Drive
Lenoir City, TN 37772-5673

Phone

(865) 777-0909

Fax

(865) 777-0910

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amsurg Chattanooga Anesthesia LLCGroup PAC ID 8921278821, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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

• Amsurg Chattanooga Anesthesia LLC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1841586922

  TN

  Medicare reassignment Care Compare group NPD
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1093947236

  GA

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069

  GA

  Medicare reassignment NPD
• Wellmont Health System Bristol Crna Professional Group

  • Certified Registered Nurse Anesthetist
  • Bristol, TN
  • NPI 1235146127

  Nurse Anesthetist, Certified Registered

  NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Cedartown, GA
  • NPI 1952704942
  NPD
• Interventional Spine and Pain Management Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Conyers, GA
  • NPI 1750420147
  NPD
• Anesthesia and Pain Consultants,P.C.

  • Anesthesiology Physician
  • Johnson City, TN
  • NPI 1750399127

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiology Consultants Exchange, PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1184670218

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Chattanooga Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
  • NPI 1447223938
  NPD (past)
• Hamblen Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
  • NPI 1821007485

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1043383375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "STE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340948",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FORT LOUDOUN MEDICAL CENTER DRIVE",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725673",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JOHNNY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "104762",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "104762",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "11185",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "5249A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4277741",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paul Roger Backus, CRNA
• Baptist Family Health Care Center
• Olivia Barnett, PT
• Carolina Isabel Beardsley, NP
• Alicia Beauchamp, RBT
• Stephen Mayes Becker, M.D.
• Jeffery Paul Beeler, D.D.S

• All providers in Lenoir City, TN
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.