Active NPI
Clay Patrick
- Certified Registered Nurse Anesthetist
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 148781
- Practice address
- 7691 Poplar Ave
Germantown, TN 38138-3904 - Phone
- (901) 516-6000
- NPI assigned
- Jun 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 148781 | TN | Primary |
Addresses
Primary practice location
7691 Poplar Ave
Germantown, TN 38138-3904
Mailing address
3915 Deerhurst St
Springdale, AR 72764-6695
Phone (870) 405-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36533 | TN | MD | Pharmacist |
| 901922 | MS | MD | Family Nurse Practitioner |
| 148781 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Memphis, AR
- NPI 1063907244
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1902647191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 DEERHURST ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646695",
"telephone_number": "870-405-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CLAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "148781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.