Individual provider Active NPI

Jonathan Wayne Burks, CRNA

  • Certified Registered Nurse Anesthetist
  • Goodlettsville, TN
National Provider Identifier
1114960143
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN10090 Issued in TN
Practice address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone
(615) 239-2061
Fax
(615) 296-9949
NPI assigned
Jun 14, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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 APN10090 TN Primary

Addresses

Primary practice location

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2061

Other identifiers 1

IdentifierTypeStateIssuer
36262671MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050413000693 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961449772 Reassigns benefits to 8 organizations
I20170630001752 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961449772
I20201228001495 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961449772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reeves County Hospital DistrictGroup PAC ID 2567353469, 25 clinicians
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians

Practice addresses (Care Compare)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772-7338

28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999

28 White Bridge Pike
Suite 210
Nashville, TN 37205-1467
Phone (615) 492-1142

28 White Bridge Rd
Suite 210
Nashville, TN 37205-1467
Phone (615) 352-3000

4601 Carothers Pkwy
Suite 375
Franklin, TN 37067-6000
Phone (615) 791-4790

832 Westover Dr
Columbia, TN 38401-4843
Phone (931) 380-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN10090TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2014 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2014 Accepting new patients
Reeves County Hospital District CurrentSince Dec 1, 2020 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2024 Accepting new patients
Reeves County Hospital District CurrentSince Dec 1, 2020 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Nashville Digestive Disease Center, P.C. CurrentSince Jul 1, 2019 Accepting new patients
Eye Center of Nashville Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2023 Accepting new patients
Mid State Endo Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2022 Accepting new patients
Epix Anesthesia of Tennessee PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Forefront Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC PastSince Sep 1, 2005 Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Reeves County Hospital District Past Accepting new patients

Locations

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

5801 Crossings Blvd
Antioch, TN 37013
Phone (615) 885-0909

280 Warfield Blvd
Clarksville, TN 37043
Phone (931) 551-9605

890 N Bluejay Way
Gallatin, TN 37066
Phone (615) 329-9212

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

1308 Briarville Rd
Madison, TN 37115
Phone (615) 868-3131

1115 Dow St
#A
Murfreesboro, TN 37130
Phone (615) 488-9234

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

2000 Church St
Fl 7
Nashville, TN 37236
Phone (615) 284-5555

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 208
Nashville, TN 37205
Phone (615) 327-2001

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

300 20th Ave N
Fl 8
Nashville, TN 37203
Phone (615) 284-1335

310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1177 Rock Springs Rd
Ste 130
Smyrna, TN 37167
Phone (615) 459-3881

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1114960143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2061",
            "fax_number": "615-296-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2061",
            "fax_number": "615-296-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "JONATHAN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36262671",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.