SAVANNAH BEVERLY
NPI 1508572454
Nurse Anesthetist, Certified Registered in Kingsport, TN

Q: What is Savannah Beverly's NPI number?

The NPI number for Savannah Beverly is 1508572454. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Q: What is Savannah Beverly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Savannah Beverly was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2023Accepts Medicare Assignment

10415 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 390-0415 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Feb 7, 2023, Jan 24, 2023 (3 updates tracked since 2023).

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About Savannah Beverly NPPES

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

SAVANNAH BEVERLY (NPI 1508572454) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (40797) and active in the NPI registry since January 2023. She is affiliated with Wellmont Holston Valley Medical Center, maintains a secondary practice location in Russellville, and is a graduate of Virginia Commonwealth University, School Of Medicine (2025).

NPPES Registry Identity

NPI1508572454

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSAVANNAH BEVERLY

Location Address10415 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address2511 Brandi DrRussellville, TN 37860-9366

Phone(423) 390-0415

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2025

Enumeration DateJanuary 24, 2023

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1508572454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 40797

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.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 245349 (TN)

10415 WALLACE ALLEY ST, Kingsport, TN 37663

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Secondary Practice Location 1

Location 12511 Brandi DrRussellville, TN 37860-9366 · Phone (423) 429-5111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Savannah Beverly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850866088

PECOS Enrollment IDI20260406002649

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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