Active NPI
Larry Max Fort Jr., CRNA
- Certified Registered Nurse Anesthetist
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN0000010015
- Practice address
- 4323 Carothers Pkwy Ste 208
Franklin, TN 37067-5916 - Phone
- (615) 778-0010
- NPI assigned
- Jul 3, 2006
- Last updated
- May 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7235513 | Other | TN | AETNA PPO |
| 4067168 | Other | TN | BLUE SHIELD |
| 3626436 | Medicaid | TN |
Other names 1
- Max Fort
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL, WI, ME, TX
Enrollment records 5
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10015 | TN | MD | Certified Registered Nurse Anesthetist |
| APN0000010015 | TN | MD | Certified Registered Nurse Anesthetist |
| 15554 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Integrated Anesthesia Services, PLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nashville Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Nashville Anesthesia Professionals PLLC | Current | Accepting new patients | |
| Anesthesia Associates of Columbia TN LLC | Current | Accepting new patients | |
| Nashville Gastrointestinal Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cardiovascular Anesthesiologists PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
Nurse Anesthetist, Certified Registered
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
dba Thorne Bay Health Clinic
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
TX
-
dba AdvancedHealth
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
- Anesthesiology Physician
- Columbia, TN
- NPI 1871979781
-
- Critical Care Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1912953381
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dickson, TN
- NPI 1194736108
Nurse Anesthetist, Certified Registered
-
dba Nashville Anesthesia Services
- Anesthesiology Physician
- Nashville, TN
- NPI 1225081805
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1851930929
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1902282130
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Minocqua
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
-
dba Hydaburg Health Center
- Clinic/Center
- Hydaburg, AK
- NPI 1073728168
Hospital
-
dba Kake Health Center
- Clinic/Center
- Kake, AK
- NPI 1114973849
Hospital
-
dba Alicia Roberts Medical Center
- Clinic/Center
- Klawock, AK
- NPI 1215913801
Hospital
-
dba Angoon Health Center
- Clinic/Center
- Angoon, AK
- NPI 1215983945
Hospital
-
dba Petersburg Clinic
- Clinic/Center
- Petersburg, AK
- NPI 1447438502
Hospital
-
dba Searhc Tenakee Springs
- Clinic/Center
- Tenakee Springs, AK
- NPI 1477721280
Hospital
-
dba Wrangell Medical Center
- Clinic/Center
- Wrangel, AK
- NPI 1487836391
Hospital
-
dba Pelican Health Clinic
- Clinic/Center
- Pelican, AK
- NPI 1659585479
Hospital
-
dba Haines Medical Clinic
- Clinic/Center
- Haines, AK
- NPI 1932184298
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Juneau, AK
- NPI 1932312485
Hospital
-
dba SEARHC Juneau Medical Clinic
- Clinic/Center
- Juneau, AK
- NPI 1942284765
Hospital
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.