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TENNESSEE ANESTHESIOLOGY LLC
NPI 1619265550
Nurse Anesthetist, Certified Registered in Kingsport, TN

Active since July 13, 2011
2204 PAVILION DR, SUITE 105, KINGSPORT, TN 37660(423) 392-0344(423) 392-6159 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2021, Nov 14, 2019 (2 updates tracked since 2019).

About Tennessee Anesthesiology Llc NPPES

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

TENNESSEE ANESTHESIOLOGY LLC (NPI 1619265550) is a healthcare organization registered as a nurse anesthetist, certified registered in Kingsport, Tennessee and active in the NPI registry since July 2011. The organization lists Penny Leigh Lloyd, Administration, as its authorized official.

NPPES Registry Identity

NPI1619265550
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameTENNESSEE ANESTHESIOLOGY LLC
Location Address2204 PAVILION DR, SUITE 105Kingsport, TN 37660-4657
Mailing Address2204 Pavilion Dr, Suite 105Kingsport, TN 37660-4657 · (423) 392-6100 · Fax (423) 392-6159
Phone(423) 392-0344
Fax(423) 392-6159
Organization SubpartNo
Authorized OfficialPenny Leigh LloydAdministration · (423) 392-6100
Enumeration DateJuly 13, 2011
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1619265550 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.
2204 PAVILION DR, Kingsport, TN 37660
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Other Identifiers 2

Medicaid1525088TN
Other4306528TN · Bcbstn

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)

Tennessee Anesthesiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tennessee Anesthesiology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Joanne Rice, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073638722
2204 PAVILION DR SUITE 105
Kingsport, TN 37660
(423) 392-6100
✔ Accepts Medicare0.1 mi
Kenneth Mathews, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831450246
2341 MCCALLIE AVE SUITE 402
Chattanooga, TN 37404
(423) 698-3309
✔ Accepts Medicare187 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee Anesthesiology LLC's NPI number?

The NPI number for Tennessee Anesthesiology LLC is 1619265550. It was assigned to this organization in the NPPES registry on July 13, 2011.

Where is Tennessee Anesthesiology LLC located?

Tennessee Anesthesiology LLC is located at 2204 Pavilion Dr Suite 105, Kingsport, TN 37660. The listed phone number is (423) 392-0344.

What is Tennessee Anesthesiology LLC's specialty?

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

Is Tennessee Anesthesiology LLC enrolled in Medicare?

Yes. Tennessee Anesthesiology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tennessee Anesthesiology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Tennessee Anesthesiology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tennessee Anesthesiology LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.