Individual provider Active NPI

Mary Christine Gilliland, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1467733378
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
151481 Issued in TN
Practice address
6005 Park Ave
Memphis, TN 38119-5202
Phone
(901) 682-2872
Fax
(901) 682-9316
NPI assigned
Sep 6, 2011
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 151481 TN Primary
Certified Registered Nurse Anesthetist 367500000X GAA-CRNA004112 GA

Addresses

Primary practice location

6005 Park Ave
Memphis, TN 38119-5202

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, SC, AL, GA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110923000172 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183895170 Reassigns benefits to 3 organizations
I20210310001156 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183895170 Reassigns benefits to 1 organization
I20250407000411 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183895170 Reassigns benefits to 1 organization
I20250619000226 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183895170 Reassigns benefits to 1 organization
I20260507004034 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183895170 Reassigns benefits to 1 organization

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
Lifelinc Anesthesia II, PLLCGroup PAC ID 2668658493, 39 clinicians
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

Practice addresses (Care Compare)

100 Northcrest Dr
Springfield, TN 37172-3927
Phone (901) 844-1590

3193 Howell Mill Rd NW
Suite 100
Atlanta, GA 30327-2129
Phone (404) 350-1410

3340 Players Blub Pkwy
Memphis, TN 38125-8949
Phone (901) 844-1590

5 Stevens St
Greenville, SC 29605-4528
Phone (864) 458-3900

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

6242 W Andrew Johnson Hwy
Talbott, TN 37877-8604
Phone (423) 690-3274

75 Shell St
Suite 100
Saraland, AL 36571-2202
Phone (251) 481-6231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30101SCMDPsychiatry Physician
151481TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2013 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Infirmary ASC - Saraland, LLC PastSince Apr 15, 2025 Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations

75 Shell St
Ste 100
Saraland, AL 36571
Phone (251) 481-6231

3193 Howell Mill Rd NW
Ste 100
Atlanta, GA 30327
Phone (404) 350-1410

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

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

5 Stevens St
Greenville, SC 29605
Phone (864) 250-6484

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

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

80 Humphreys Center Dr
Ste 310
Memphis, TN 38120
Phone (901) 474-3370

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

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250

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

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1467733378",
    "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": "6005 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-682-2872",
            "fax_number": "901-682-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "151481",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "GAA-CRNA004112",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 14, 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.