Glennis Darrell Lawson Jr., MSN-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

128612 Issued in TN

Practice address

919 E. Central Avenue
Lafollette, TN 37766-2055

Phone

(865) 777-0909

Fax

(865) 777-0910

NPI assigned

Nov 10, 2006

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Gastroenterology Anesthesia Associates, LLCGroup PAC ID 8325357155, 7 clinicians

Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Knoxville Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1356717227

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Anesthesiologists, PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1073619466

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University Anesthesiologists, PLLC

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1558479279
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Resource Anesthesia Cumberland Valley Inc

  • Certified Registered Nurse Anesthetist
  • Corbin, KY
  • NPI 1780930743
  Medicare reassignment
• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998
  NPD (past)
• Jellico Community Hospital, Inc

  dba Care Plus Center

  • Multi-Specialty Clinic/Center
  • Willaimsburg, KY
  • NPI 1407154800
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Campbell County Hma, LLC

  dba Tennova Healthcare-LaFollette Medical Center

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1639151301
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1598836900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "STE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340948",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E. CENTRAL AVENUE",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662055",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "GLENNIS",
        "middle_name": "DARRELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN11154",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "128612",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "11154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74010661",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506017",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74010061",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND BC PROVIDER NUMBER",
            "identifier": "4110437",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00632153",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4178543",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L & M Inc. (Riggs Drug)
• L & M Inc. (Riggs Drug)
• Lafollette Comm Hospital
• Lafollette General Surgery
• Lafollette Wellness Center
• Kasey N Lawson, LCSW
• Rachel Leigh Lawson, PTA
• Katelyn Lee, LCSW
• Legal Medicine (Medicine Women)
• Cory Lynn Legan, FNP-C

• Certified Registered Nurse Anesthetist in La Follette, TN
• Providers in La Follette, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.