SYDNEY R GULLY CRNA
NPI 1659900843
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since April 08, 2020PECOS Enrolled
87.25/100
CMS Quality Rating
1265 UNION AVE, MEMPHIS, TN 38104(901) 725-5846 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2020, Apr 8, 2020 (2 updates tracked since 2020).

About Sydney R Gully Crna NPPES

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

SYDNEY R GULLY CRNA (NPI 1659900843) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (27793) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659900843
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSYDNEY R GULLYCredential: CRNA
Location Address1265 UNION AVEMemphis, TN 38104-3415
Mailing Address6060 Primacy Pkwy Ste 241Memphis, TN 38119-5743 · (901) 725-5846
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1659900843 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 · 27793
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 NurseTaxonomy 163W00000X · License 900220 (MS)
1265 UNION AVE, Memphis, TN 38104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney R Gully Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sydney Gully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1265 UNION AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 124 clinicians in this Medicare group
Anesthesiology
6060 PRIMACY PKWY STE 241
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 99 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1265 UNION AVE
MEMPHIS, TN 38104
Hospitalist
1265 UNION AVE
MEMPHIS, TN 38104
Student in an Organized Health Care Education/Training Program
1265 UNION AVE
MEMPHIS, TN 38104
Internal Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1265 UNION AVE
MEMPHIS, TN 38104
Emergency Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Anesthesiology
1265 UNION AVE
MEMPHIS, TN 38104
Radiologic Technologist (Radiation Therapy)
1265 UNION AVE
MEMPHIS, TN 38104

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 Sydney Gully's NPI number?

The NPI number for Sydney Gully is 1659900843. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Sydney Gully located?

Sydney Gully practices at 1265 Union Ave, Memphis, TN 38104. The listed phone number is (901) 725-5846.

What is Sydney Gully's specialty?

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

Is Sydney Gully enrolled in Medicare?

Yes. Sydney Gully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sydney Gully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Gully reassigns Medicare benefits to 2 organizations: Resource Anesthesiology Associates Of Tn PC (Memphis, TN) and Medical Anesthesia Group, PA (Memphis, TN). Each 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 Sydney Gully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sydney Gully accept?

Health plans from Cigna Healthcare list Sydney Gully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sydney Gully was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.