Individual provider Active NPI

Anthony Wayne Sullinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
National Provider Identifier
1073888467
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000016416 Issued in TN
Practice address
726 McFarland St
Morristown, TN 37814-3989
Phone
(423) 522-6000
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000016416 TN Primary

Addresses

Primary practice location

726 McFarland St
Morristown, TN 37814-3989

Mailing address

4523 York Rd
Knoxville, TN 37938-2424
Phone (865) 922-3816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000057 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860654209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Anesthesia, LLCGroup PAC ID 0446300073, 26 clinicians
Legacy AnesthesiaGroup PAC ID 7113272634, 8 clinicians

Practice addresses (Care Compare)

4713 Papermill Dr
Suite 100
Knoxville, TN 37909-1924
Phone (423) 226-2479

7739 Dannaher Dr
Powell, TN 37849-4049
Phone (423) 639-0941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000016416TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Center of Knoxville, LLC CurrentSince Jun 1, 2023 Accepting new patients
Priority Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Legacy Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Lakeway Regional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2550 Business Park Dr NE
Cleveland, TN 37311
Phone (423) 339-8881

2103 Forest Dr
Johnson City, TN 37615
Phone (865) 219-3506

11416 Grigsby Chapel Rd
Knoxville, TN 37934
Phone (865) 675-8000

1346 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 330-6320

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

4713 Papermill Dr
Ste 301
Knoxville, TN 37909
Phone (865) 307-7323

9314 Park West Blvd
Ste 400
Knoxville, TN 37923
Phone (865) 540-1650

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

103 Donner Dr
Oak Ridge, TN 37830
Phone (865) 481-3972

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

7739 Dannaher Dr
Powell, TN 37849
Phone (865) 339-4200

Organizations & group practices 4

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1073888467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 YORK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379382424",
            "telephone_number": "865-922-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143989",
            "telephone_number": "423-522-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLINGER",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000016416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.