Active NPI
Cory F Blackwell, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN111991
- Practice address
- 2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239 - Phone
- (423) 698-3309
- Fax
- (423) 624-6355
- NPI assigned
- Feb 28, 2006
- 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 | RN103349 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN09974 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN111991 | GA | Primary |
Addresses
Primary practice location
2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4059111 | Other | TN | BCBS |
| 3626058 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000139 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8426068388 | Reassigns benefits to 4 organizations |
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
- Medical Center Anesthesiology of Athens
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48260 | TN | MD | Pharmacist |
| RN111991 | GA | MD | Certified Registered Nurse Anesthetist |
| APN09974 | TN | MD | Certified Registered Nurse Anesthetist |
| RN103349 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Medical Center Anesthesiology of Athens | Current | Accepting new patients | |
| JNC Anesthesia, LLC | Current | Accepting new patients | |
| Walton Anesthesia Associates, PC | Current | Accepting new patients | |
| Carlton M Guthrie PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North Fulton Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
195 King Ave
Athens, GA 30606
Phone (706) 543-6261
1856 Thompson Bridge Rd
Gainesville, GA 30501
Phone (770) 535-1948
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
-
- Certified Registered Nurse Anesthetist
- Athens, GA
- NPI 1659616316
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689640518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73709",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713709",
"telephone_number": "770-251-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE",
"address_2": "SUITE 402",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043239",
"telephone_number": "423-698-3309",
"fax_number": "423-624-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "CORY",
"middle_name": "F",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN103349",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN09974",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN111991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4059111",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3626058",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.