Individual provider Active NPI

Larry Max Fort Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Franklin, TN
National Provider Identifier
1669402038
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000010015 Issued in TN
Practice address
4323 Carothers Pkwy Ste 208
Franklin, TN 37067-5916
Phone
(615) 778-0010
NPI assigned
Jul 3, 2006
Last updated
May 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 10015 TN
Certified Registered Nurse Anesthetist 367500000X 15554 WI
Certified Registered Nurse Anesthetist 367500000X APN0000010015 TN Primary

Addresses

Primary practice location

4323 Carothers Pkwy Ste 208
Franklin, TN 37067-5916

Mailing address

2534 Saint James Dr
Franklin, TN 37064-6753
Phone (615) 585-6218

Other practice location 1

10101 Ramsey Way Ste A
Dickson, TN 37055-1085
Phone (615) 326-5585

Other practice location 2

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1767

Other identifiers 3

IdentifierTypeStateIssuer
7235513OtherTNAETNA PPO
4067168OtherTNBLUE SHIELD
3626436MedicaidTN

Other names 1

  • Max Fort Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL, WI, ME, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040430001152 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244228153 Reassigns benefits to 9 organizations
I20240614002566 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244228153 Reassigns benefits to 1 organization
I20241219003147 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244228153 Reassigns benefits to 9 organizations
I20250318003064 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244228153 Reassigns benefits to 1 organization
I20250922002605 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244228153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

123 Crestview Park Dr
Dickson, TN 37055-2842
Phone (615) 257-4610

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

50 Union St
Ellsworth, ME 04605-1534

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10015TNMDCertified Registered Nurse Anesthetist
APN0000010015TNMDCertified Registered Nurse Anesthetist
15554WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC CurrentSince May 28, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 16, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Oct 31, 2018 Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 16, 2024 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 16, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 16, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 8, 2025 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 16, 2024 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince May 28, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Mar 3, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2015 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 16, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 8, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 16, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Mar 3, 2025 Accepting new patients
Nashville Anesthesia Professionals PLLC CurrentSince Apr 1, 2024 Accepting new patients
Anesthesia Associates of Columbia TN LLC CurrentSince Feb 6, 2017 Accepting new patients
Nashville Gastrointestinal Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2018 Accepting new patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2010 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 16, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 16, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 16, 2024 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Endoscopy Center of St Thomas LLC Past Accepting new patients
Houlton Regional Hospital Past Accepting new patients
Houlton Regional Hospital Past Accepting new patients
Nashville Anesthesia Specialists, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cumberland Medical Center, Inc. Past Accepting new patients

Locations (25 of 33)

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1510 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7818

725 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 381-3700

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

10101 Ramsey Way
Ste A
Dickson, TN 37055
Phone (615) 326-5585

123 Crestview Park Dr
Dickson, TN 37055
Phone (615) 257-4610

4323 Carothers Pkwy
Ste 208
Franklin, TN 37067
Phone (615) 459-2051

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

2345 Murfreesboro Hwy
Manchester, TN 37355
Phone (931) 728-5479

1800 Church St
Ste 100
Nashville, TN 37203
Phone (615) 329-3624

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9249

301 S Perimeter Park Dr
Ste 100
Nashville, TN 37211
Phone (615) 478-6748

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530

4230 Harding Pike
Ste 309W
Nashville, TN 37205
Phone (615) 329-2141

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1669402038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 SAINT JAMES DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370646753",
            "telephone_number": "615-585-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY STE 208",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675916",
            "telephone_number": "615-778-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ramsey Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370551085",
            "country_code": "US",
            "telephone_number": "615-326-5585",
            "fax_number": "615-326-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9576 Hwy 70",
            "address_purpose": "LOCATION",
            "city": "Minocqua",
            "state": "WI",
            "postal_code": "545489067",
            "country_code": "US",
            "telephone_number": "715-358-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORT",
        "first_name": "LARRY",
        "middle_name": "MAX",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10015",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "15554",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7235513",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4067168",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3626436",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAX",
            "last_name": "FORT",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.