Individual provider Active NPI

Tracy McGowan, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1205117132
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
16132 Issued in TN
Practice address
1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800
Phone
(901) 682-2872
Fax
(901) 682-9316
NPI assigned
Sep 6, 2011
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 901682 MS
Certified Registered Nurse Anesthetist 367500000X 16132 TN Primary

Addresses

Primary practice location

1068 Cresthaven Rd
Suite 150
Memphis, TN 38119-0800

Mailing address

PO Box 171181
Memphis, TN 38187-1181
Phone (901) 682-2872

Other practice location 1

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630

Other identifiers 1

IdentifierTypeStateIssuer
1525457MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110922000536 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113198169 Reassigns benefits to 3 organizations
I20210326002100 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113198169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Memphis Anesthesia Services PLCGroup PAC ID 1850386038, 26 clinicians
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

Practice addresses (Care Compare)

6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (901) 685-2200

7600 Airways Blvd
Suite D
Southaven, MS 38671-5138
Phone (662) 548-2190

825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2025 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2025 Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

6947 Crumpler Blvd
Ste 105
Olive Branch, MS 38654
Phone (662) 893-3306

7600 Airways Blvd
Ste D
Southaven, MS 38671
Phone (662) 349-7477

Gastro Onegovt Arhcl
New York, NY 10087

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

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

Organizations & group practices 6

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1205117132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171181",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381871181",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381755",
            "country_code": "US",
            "telephone_number": "901-747-3630",
            "fax_number": "901-747-4749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "TRACY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901682",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525457",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.