Individual provider Active NPI

Jerry Lynn Sutton, CRNA

  • Certified Registered Nurse Anesthetist
  • Sevierville, TN
National Provider Identifier
1659644334
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
16409 Issued in TN
Practice address
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone
(865) 446-7800
Fax
(865) 446-7751
NPI assigned
Feb 11, 2012
Last updated
Feb 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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 16409 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000170 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800056227 Reassigns benefits to 5 organizations

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
Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians
Legacy AnesthesiaGroup PAC ID 7113272634, 8 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16409TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Eye Surgery Center of Knoxville, LLC CurrentSince Dec 1, 2021 Accepting new patients
Invigilo Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Jan 1, 2025 Accepting new patients
Legacy Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Apogee Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince May 28, 2022 Accepting new patients

Locations

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

Dept 888089
Knoxville, TN 37995

Dept 888614
Knoxville, TN 37995

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

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

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

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, 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": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1659644334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890718",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890718",
            "telephone_number": "423-639-0941",
            "fax_number": "423-638-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-7800",
            "fax_number": "865-446-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.