MR. LARRY G JOHNSON CRNA
NPI 1407819725
Nurse Anesthetist, Certified Registered in Greeneville, TN

Active since April 08, 2006
1104 TUSCULUM BLVD, SUITE 303, GREENEVILLE, TN 37745(423) 636-8600(423) 636-8892 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Larry G Johnson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY G JOHNSON CRNA (NPI 1407819725) is an individual nurse anesthetist, certified registered in Greeneville, Tennessee, licensed in Tennessee (RN0000030838) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1407819725
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. LARRY G JOHNSONCredential: CRNA
Location Address1104 TUSCULUM BLVD, SUITE 303Greeneville, TN 37745-4091
Mailing Address1104 Tusculum Blvd, Suite 303Greeneville, TN 37745-4091 · (423) 636-8600 · Fax (423) 636-8892
Fax(423) 636-8892
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateAugust 13, 2008
NPI 1407819725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · RN0000030838
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1104 TUSCULUM BLVD, Greeneville, TN 37745

Other Identifiers 4

Other0177990TN · Bcbs Of Tn
Medicare ID-Type Unspecified3600909TN
Other8050485TN · Nc Medicaid
Medicaid3600909TN

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Sleep Disorder Diagnostic)
1104 TUSCULUM BLVD, STE 301
GREENEVILLE, TN 37745
Psychologist (Health Service)
1104 TUSCULUM BLVD, SUITE 118
GREENEVILLE, TN 37745
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1104 TUSCULUM BLVD, SUITE 316
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, SUITE 114
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, SUITE 114
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, SUITE 114
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, SUITE 114
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, SUITE 114
GREENEVILLE, TN 37745
Nurse Anesthetist, Certified Registered
1104 TUSCULUM BLVD, STE 114
GREENEVILLE, TN 37745

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407819725, enumerated as an "individual" on April 08, 2006.

The provider is located at 1104 TUSCULUM BLVD SUITE 303 GREENEVILLE, TN 37745 and the phone number is (423) 636-8600.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.