Active NPI
Chadd Jason Moore, CRNA
- Certified Registered Nurse Anesthetist
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11099
- Practice address
- 100 Hospital Dr
Hendersonville, NC 28792-5272 - Phone
- (828) 681-2420
- Fax
- (828) 687-0729
- NPI assigned
- Jun 15, 2006
- Last updated
- Apr 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 70304 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 11099 | TN | Primary |
Addresses
Primary practice location
100 Hospital Dr
Hendersonville, NC 28792-5272
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10069833 | Other | TN | AMERIGROUP |
| 4081901 | Other | TN | BCBS |
| 74010612 | Other | KY | KY MEDICAID |
| P01263433 | Other | NC | MEDICARE RR |
| 181WM | Other | NC | BCBS NC |
| P00162074 | Other | TN | RAILROAD MEDICARE |
| 3629899 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11099 | TN | MD | Internal Medicine Physician |
| 70304 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients |
Locations
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
Organizations & group practices 3
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.
-
dba Nashville Anesthesia Services
- Anesthesiology Physician
- Nashville, TN
- NPI 1225081805
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Southern Hills Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1720032345
-
dba TriStar StoneCrest Medical Center
- General Acute Care Hospital
- Smyrna, TN
- NPI 1992776405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1780628180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925272",
"telephone_number": "828-681-2420",
"fax_number": "828-687-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHADD",
"middle_name": "JASON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "70304",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "11099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10069833",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4081901",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID",
"identifier": "74010612",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01263433",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "181WM",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00162074",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3629899",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.