Active NPI
Robert Keith Scott, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9169
- Practice address
- 708 W Forest Ave
Jackson, TN 38301-3901 - Phone
- (731) 927-7072
- Fax
- (731) 425-7075
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9169 | TN | Primary |
Addresses
Primary practice location
708 W Forest Ave
Jackson, TN 38301-3901
Mailing address
315 Nebhut LN
Rossville, TN 38066-1703
Phone (713) 225-6885
Other practice location 1
27A Medical Center Dr
Jackson, TN 38301-3949
Phone (731) 280-0157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509914 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
Practice addresses (Care Compare)
27 A Medical Ctr Dr
Jackson, TN 38301-3949
Phone (731) 424-1001
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
700 W Forest Ave
Suite 100
Jackson, TN 38301-3940
Phone (731) 661-2000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55947 | TN | MD | Otolaryngology Physician |
| 9169 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesia Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| G I Diagnostic and Therapeutic Center LLC | Current | Accepting new patients | |
| Gastroenterology Center of the Midsouth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Associates | Past | Accepting new patients | |
| West Tennessee Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
Gastro Onegovt Arhcl
New York, NY 10087
1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
27 Medical Center Dr
#A
Jackson, TN 38301
Phone (731) 280-0157
1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1447591730
Nurse Anesthetist, Certified Registered
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1568571743
-
- Certified Registered Nurse Anesthetist
- Jackson, TN
- NPI 1427137280
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1285640185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 NEBHUT LN",
"city": "ROSSVILLE",
"state": "TN",
"postal_code": "380661703",
"telephone_number": "713-225-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013901",
"telephone_number": "731-927-7072",
"fax_number": "731-425-7075"
}
],
"practiceLocations": [
{
"address_1": "27A Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383013949",
"country_code": "US",
"telephone_number": "731-280-0157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "ROBERT",
"middle_name": "KEITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509914",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.