Individual provider Active NPI

Michael Allen Parker, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1427084490
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TN 95712 Issued in TN
Practice address
1132 Fairmount Ave
Chattanooga, TN 37405-2850
Phone
(423) 266-9983
NPI assigned
Jun 23, 2006
Last updated
Aug 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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 TN 95712 TN Primary

Addresses

Primary practice location

1132 Fairmount Ave
Chattanooga, TN 37405-2850

Mailing address

1132 Fairmount Ave
Chattanooga, TN 37405-2850
Phone (423) 266-9983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090929000553 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880791904
I20100520000261 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880791904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amsurg Chattanooga Anesthesia LLCGroup PAC ID 8921278821, 9 clinicians

Practice addresses (Care Compare)

1501 Riverside Dr
Suite 117
Chattanooga, TN 37406-4332
Phone (423) 648-0576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TN 95712TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Chattanooga Anesthesia LLC CurrentSince Feb 15, 2013 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Preferred Anesthesia Consultants LLC Past Accepting new patients
Chattanooga Endoscopy ASC LLC PastSince Feb 15, 2013 Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Sheridan Healthcare of North Texas PA Past Accepting new patients
Covenant Anesthesia Group, PC Past Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
South Georgia Anesthesia Group, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576

2341 McCallie Ave
Ste 303
Chattanooga, TN 37404
Phone (423) 696-3999

Organizations & group practices 11

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1427084490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 FAIRMOUNT AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052850",
            "telephone_number": "423-266-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 FAIRMOUNT AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052850",
            "telephone_number": "423-266-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "TN 95712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.