Pamela J Austin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

8877 Issued in TN

Practice address

810 W Forest Ave
Jackson, TN 38301-3942

Phone

(731) 662-1853

Fax

(731) 664-7731

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

No

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.

• Medical Center Anesthesia Inc.

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1447591730

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Jackson Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1770187734
  NPD (past)
• Professional Anesthesia Associates

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1568571743
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2012.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1063408797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-662-1853",
            "fax_number": "731-664-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "8877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3601565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlas Medical Group, LLC
• Ashley Elizabeth Attaway, PA
• Emma Ault
• Morganne Brittany Austin-Dotson, LMSW
• Natasha Y Austin, FNP
• Porsha Y Austin, C.M.
• Candace Lynn Avery, APRN
• Adil Ayub, MD
• Ashton Michelle Azevedo, PMHNP
• Asad Azim, MD

• All providers in Jackson, TN
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.