WEST TENNESSEE ANESTHESIA, PC
NPI 1427137280
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is West Tennessee Anesthesia, PC's NPI number?

The NPI number for West Tennessee Anesthesia, PC is 1427137280. It was assigned to this organization in the NPPES registry on November 3, 2006.

Q: What is West Tennessee Anesthesia, PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since November 03, 2006

17C BRENTSHIRE SQUARE, JACKSON, TN 38305(731) 664-1717(731) 664-7114 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

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About West Tennessee Anesthesia, Pc NPPES

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

WEST TENNESSEE ANESTHESIA, PC (NPI 1427137280) is a healthcare organization registered as a nurse anesthetist, certified registered in Jackson, Tennessee and active in the NPI registry since November 2006. The organization maintains 3 additional practice locations and lists Matthew Shane Long, Cfo, as its authorized official.

NPPES Registry Identity

NPI1427137280

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameWEST TENNESSEE ANESTHESIA, PC

Location Address17C BRENTSHIRE SQUAREJackson, TN 38305-2273

Mailing Address17c Brentshire SquareJackson, TN 38305-2273 · (731) 664-1717 · Fax (731) 664-7114

Phone(731) 664-1717

Fax(731) 664-7114

Organization SubpartNo

Authorized OfficialMatthew Shane LongCfo · (731) 664-1717

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 1, 2022

✔ NPI 1427137280 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

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.

17C BRENTSHIRE SQUARE, Jackson, TN 38305

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Secondary Practice Locations 3

Location 12545 N Washington AveBrownsville, TN 38012-1610 · Phone (731) 307-3777

Location 2200 W Church StLexington, TN 38351-2038 · Phone (731) 968-3646

Location 35001 E Main StErin, TN 37061-4115 · Phone (931) 289-4211

Other Identifiers 1

Medicaid3604177TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Tennessee Anesthesia, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to West Tennessee Anesthesia, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.