Individual provider Active NPI

Don G Quilliams, CRNA

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
National Provider Identifier
1144215500
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN0000052620 Issued in TN
Practice address
1027 E Main St
Morristown, TN 37814-6632
Phone
(423) 581-5984
Fax
(423) 581-0984
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 RN0000052620 TN Primary

Addresses

Primary practice location

1027 E Main St
Morristown, TN 37814-6632

Mailing address

PO Box 1718
Morristown, TN 37816-1718
Phone (423) 581-5987

Other identifiers 2

IdentifierTypeStateIssuer
3601767MedicaidTN
3050972OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000804 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648323360 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians
Priority Anesthesia, LLCGroup PAC ID 0446300073, 26 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 859-1138

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9118TNMDDentist
RN0000052620TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
Priority Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Crescent Anesthesia Associates Past Accepting new patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Mar 13, 1995 Accepting new patients

Locations

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

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

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

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

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

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

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

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

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

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

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

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1144215500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161718",
            "telephone_number": "423-581-5987",
            "fax_number": "423-581-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E MAIN ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146632",
            "telephone_number": "423-581-5984",
            "fax_number": "423-581-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIAMS",
        "first_name": "DON",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000052620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3601767",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3050972",
            "state": "TN"
        }
    ],
    "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 Aug 14, 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.