Individual provider Active NPI

Amy Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
National Provider Identifier
1689923401
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901404 Issued in MS
Practice address
909 Creekwood Dr
Corinth, MS 38834-2210
Phone
(662) 603-3781
NPI assigned
Sep 7, 2012
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 16925 TN
Certified Registered Nurse Anesthetist 367500000X 901404 MS Primary

Addresses

Primary practice location

909 Creekwood Dr
Corinth, MS 38834-2210

Mailing address

620 Skyline Drive
Jackson, TN 38301

Other practice location 1

620 Skyline Drive
Jackson, TN 38301
Phone (731) 541-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121011000277 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143479998 Reassigns benefits to 2 organizations
I20161013000941 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143479998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Booneville Anesthesia Services LLCGroup PAC ID 6901305051, 6 clinicians
Trident Anesthesia LLCGroup PAC ID 6901028315, 9 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

306 Bradley Rd
Suite a
Corinth, MS 38834-7047
Phone (662) 285-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901404MSMDCertified Registered Nurse Anesthetist
16925TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Anesthesia Group CurrentSince Sep 1, 2012 Accepting new patients
Trident Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2026 Accepting new patients
Jackson Clinic PA CurrentSince Sep 10, 2012 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2013 Accepting new patients
Booneville Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Jackson Clinic PA PastSince Sep 10, 2012 Accepting new patients
Magnolia Endoscopy Center, LLC PastSince Dec 8, 2022 Accepting new patients

Locations

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

306 Bradley Rd
#A
Corinth, MS 38834
Phone (662) 285-6060

110 Walker Way
Starkville, MS 39759
Phone (662) 320-6555

27 Medical Center Dr
#A
Jackson, TN 38301
Phone (731) 280-0157

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

700 W Forest Ave
Jackson, TN 38301
Phone (731) 424-8922

810 W Forest Ave
Jackson, TN 38301
Phone (731) 668-1853

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 9

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1689923401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 CREEKWOOD DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342210",
            "telephone_number": "662-603-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Skyline Drive",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38301",
            "country_code": "US",
            "telephone_number": "731-541-7070",
            "fax_number": "731-541-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16925",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.