Individual provider Active NPI

Justin Sexton, CRNA

  • Certified Registered Nurse Anesthetist
  • Madison, TN
National Provider Identifier
1972682466
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
72238 Issued in TN
Practice address
154 Cude LN
Madison, TN 37115-2202
Phone
(615) 865-6268
Fax
(615) 868-7378
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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 72238 TN Primary

Addresses

Primary practice location

154 Cude LN
Madison, TN 37115-2202

Mailing address

PO Box 488
Madison, TN 37116-0488
Phone (615) 865-6268

Other identifiers 1

IdentifierTypeStateIssuer
3634007MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, KY, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050122000164 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880644384 Reassigns benefits to 2 organizations
I20200617002218 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880644384 Reassigns benefits to 1 organization
I20210111003010 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880644384 Reassigns benefits to 1 organization
I20221031000118 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880644384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Capital Anesthesia Solutions of Kentucky LLCGroup PAC ID 0446681548, 37 clinicians

Practice addresses (Care Compare)

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72238TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2020 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Jul 23, 2022 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Gibson General Hospital, Inc CurrentSince Jun 22, 2021 Accepting new patients
Apollo Medical Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2020 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9249

345 23rd Ave N
Ste 212
Nashville, TN 37203
Phone (615) 327-2055

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

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 and National Provider Directory roles.

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1972682466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160488",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152202",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "JUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "72238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3634007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.