Individual provider Active NPI

Jory Gates, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1588700629
Registry record updated Feb 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
135892 Issued in TN
Practice address
1755 Kirby Pkwy Ste 330
Memphis, TN 38120-4398
Phone
(901) 725-5846
Fax
(901) 726-4827
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 135892 TN Primary

Addresses

Primary practice location

1755 Kirby Pkwy Ste 330
Memphis, TN 38120-4398

Mailing address

PO Box 171306
Memphis, TN 38187-1306
Phone (800) 809-2106

Other identifiers 4

IdentifierTypeStateIssuer
3638350MedicaidTN
4163655OtherTNBCBS
02204762MedicaidMS
P00421116OtherTNRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070608000570 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517065220 Reassigns benefits to 5 organizations
I20131003000448 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517065220 Reassigns benefits to 3 organizations
I20161005002593 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517065220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of TN PCGroup PAC ID 8527419092, 145 clinicians
East Memphis Anesthesia Services PLCGroup PAC ID 1850386038, 26 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.75 of 100Reported as group
Quality
83.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12704TNMDPhysical Therapist
135892TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Sep 6, 2016 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2010 Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2014 Accepting new patients
Resource Anesthesiology Associates of TN PC Nurse Anesthetist, Certified Registered CurrentSince Jun 7, 2024 Accepting new patients

Locations

1236 E Elizabeth St
Ste 2
Fort Collins, CO 80524
Phone (970) 221-9970

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

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

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

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

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

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

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

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

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

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

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

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

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

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

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 and National Provider Directory roles.

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234569600000",
    "number": "1588700629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171306",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381871306",
            "telephone_number": "800-809-2106",
            "fax_number": "334-386-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204398",
            "telephone_number": "901-725-5846",
            "fax_number": "901-726-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JORY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "135892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3638350",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4163655",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204762",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00421116",
            "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 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.