Individual provider Active NPI

Devaughn Jerron Pollard, NP

  • Certified Registered Nurse Anesthetist
  • Roanoke, VA
National Provider Identifier
1184064131
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9438200 Issued in FL
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
Fax
(540) 853-0931
NPI assigned
Jul 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 29077 TN
Acute Care Nurse Practitioner 363LA2100X 4704246058 MI
Certified Registered Nurse Anesthetist 367500000X APRN9438200 FL Primary
Acute Care Nurse Practitioner 363LA2100X 0024175543 VA

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA, FL, GA, TN, TX7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20150824000348 MI Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 1 organization
I20170530001541 PA Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 1 organization
I20190226001133 FL Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 4 organizations
I20200427001059 GA Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 1 organization
I20220509000032 TN Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 2 organizations
I20230323003172 TX Practitioner - Nurse Practitioner 0941515704 Reassigns benefits to 1 organization
I20250410002626 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941515704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Anesthesiology Consultants Exchange, PCGroup PAC ID 2365434297, 152 clinicians

Practice addresses (Care Compare)

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-6084

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 602-8400

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704246058MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Consortium Inc CurrentSince Apr 13, 2024 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Feb 22, 2022 Accepting new patients
Hni Physician Services of Texas, Inc CurrentSince Feb 1, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Nov 1, 2017 Accepting new patients
Cookeville Hospitalist Group, PLLC CurrentSince Sep 1, 2023 Accepting new patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
Phoebe Sumter Medical Center, Inc. Past Accepting new patients

Locations

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

835 Currency Cir
Ste 1021
Lake Mary, FL 32746
Phone (407) 544-6643

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2863 Wellness Ave
Orange City, FL 32763
Phone (286) 297-7239

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

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

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

Networks

  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

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": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1184064131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000",
            "fax_number": "540-853-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000",
            "fax_number": "540-853-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "DEVAUGHN",
        "middle_name": "JERRON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "29077",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704246058",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9438200",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.