Jerry Lynn Sutton, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sevierville, TN
NPI 1659644334 · NPPES record last updated Feb 11, 2012
Key facts
- NPI
- 1659644334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 16409 (TN)
- Practice address
- 742 Middle Creek Rd
Sevierville, TN 37862-5019 - Phone
- (865) 446-7800
- Fax
- (865) 446-7751
- NPI assigned
- Feb 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Anesthesia Group PC
Legacy Anesthesia
Practice addresses (Care Compare)
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 429-6100
7739 Dannaher Dr
Powell, TN 37849-4049
Phone (423) 639-0941
Hospital & facility affiliations
- Leconte Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000170 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6800056227 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16409 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Invigilo Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Legacy Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Covenant Anesthesia Group, PC | Current |
Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
Dept 888089
Knoxville, TN 37995
4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771
Dept 888614
Knoxville, TN 37995
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
460 Medical Park Dr
Ste 104
Lenoir City, TN 37772
Phone (865) 562-3232
5491 Creekwood Park Blvd
#B
Lenoir City, TN 37772
Phone (865) 328-7400
1639 W Morris Blvd
Morristown, TN 37813
Phone (423) 586-0341
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
7739 Dannaher Dr
Powell, TN 37849
Phone (865) 339-4200
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 16409 | TN | Yes |
Addresses
Primary practice location
742 Middle Creek Rd
Sevierville, TN 37862-5019
Mailing address
PO Box 890718
Charlotte, NC 28289-0718
Phone (423) 639-0941
Other providers in Sevierville, TN
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC
- Paul Hutcheson Swafford Jr.
- Robin A Swaggerty
- Sarah Michelle Swint
- Jonathan Tackett
- Leslie Best Tallon
All providers in Sevierville, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.