Individual provider Active NPI

Michael A Ratliff

  • Certified Registered Nurse Anesthetist
  • Richlands, VA
National Provider Identifier
1427229574
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024167652 Issued in VA
Practice address
2951 Front St
Suite 3050
Richlands, VA 24641-2055
Phone
(276) 963-8504
Fax
(276) 963-6642
NPI assigned
Mar 17, 2008
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 17689 TN
Certified Registered Nurse Anesthetist 367500000X 0024167652 VA Primary
Registered Nurse 163W00000X 0001142545 VA

Addresses

Primary practice location

2951 Front St
Suite 3050
Richlands, VA 24641-2055

Mailing address

2951 Front St
Suite 3050
Richlands, VA 24641-2055
Phone (276) 963-8504

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080602000446 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103996228 Reassigns benefits to 1 organization
I20130717000434 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103996228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Highlands Anesthesia PCGroup PAC ID 0648266437, 29 clinicians

Practice addresses (Care Compare)

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001142545VAMDRegistered Nurse
17689TNMDCertified Registered Nurse Anesthetist
0024167652VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Solutions Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 19, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 1, 2014 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 1, 2019 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 1, 2014 Accepting new patients
Meadowview ASC, LLC Past Accepting new patients
Southwest Anesthesia, PC Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000

320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030

10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

130 W Stone Dr
Kingsport, TN 37660

2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Dept 888618
Knoxville, TN 37995

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1427229574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 FRONT ST",
            "address_2": "SUITE 3050",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412055",
            "telephone_number": "276-963-8504",
            "fax_number": "276-963-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 FRONT ST",
            "address_2": "SUITE 3050",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412055",
            "telephone_number": "276-963-8504",
            "fax_number": "276-963-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "17689",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024167652",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001142545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.