Individual provider Active NPI

Penny M Green, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, TN
National Provider Identifier
1760425409
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11236 Issued in TN
Practice address
725 S James Campbell Blvd
Columbia, TN 38401-5962
Phone
(931) 728-5607
Fax
(931) 728-8354
NPI assigned
Jun 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 11236 TN Primary

Addresses

Primary practice location

725 S James Campbell Blvd
Columbia, TN 38401-5962

Mailing address

PO Box 299
Manchester, TN 37349-0299
Phone (931) 728-5607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040626000286 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406832823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Columbia TN LLCGroup PAC ID 1557679644, 2 clinicians

Practice addresses (Care Compare)

725 S James M Campbell Blvd
Columbia, TN 38401-5962
Phone (931) 381-7818

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center CurrentSince Feb 3, 2020 Accepting new patients
Pulaski Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
Anesthesia Associates of Columbia TN LLC CurrentSince Nov 26, 2017 Accepting new patients
Highland Rim Anesthesia, P.C. Past Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Care of Tullahoma, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered PastSince Oct 29, 2023 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

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

1510 Hatcher Ln
Ste 18
Columbia, TN 38401

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

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760425409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490299",
            "telephone_number": "931-728-5607",
            "fax_number": "931-728-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S JAMES CAMPBELL BLVD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015962",
            "telephone_number": "931-728-5607",
            "fax_number": "931-728-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PENNY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "11236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.