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LARRY MAX FORT JR. CRNA
NPI 1669402038
Nurse Anesthetist, Certified Registered in Franklin, TN

Active since July 03, 2006Accepts Medicare Assignment
4323 CAROTHERS PKWY STE 208, FRANKLIN, TN 37067(615) 778-0010 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2026, Apr 14, 2026, Jan 7, 2025 and 1 more (4 updates tracked since 2024).

About Larry Max Fort Jr. Crna NPPES

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

LARRY MAX FORT JR. CRNA (NPI 1669402038) is an individual nurse anesthetist, certified registered in Franklin, Tennessee, licensed in Tennessee (APN0000010015) and active in the NPI registry since July 2006. He is affiliated with Northern Light Maine Coast Hospital, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669402038
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameLARRY MAX FORT JR.Credential: CRNA
Location Address4323 CAROTHERS PKWY STE 208Franklin, TN 37067-5916
Mailing Address2534 Saint James DrFranklin, TN 37064-6753 · (615) 585-6218
Phone(615) 778-0010
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1669402038 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
Licenses✔ Licensed in TN · APN0000010015✔ Licensed in TN · 10015✔ Licensed in WI · 15554
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.
4323 CAROTHERS PKWY STE 208, Franklin, TN 37067
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Other Names 1

Professional Name (2)Max Fort Crna

Secondary Practice Locations 2

Location 110101 Ramsey Way Ste ADickson, TN 37055-1085 · Phone (615) 326-5585 · Fax (615) 326-5595
Location 29576 Hwy 70Minocqua, WI 54548-9067 · Phone (715) 358-1767

Other Identifiers 3

Other4067168TN · Blue Shield
Other7235513TN · Aetna Ppo
Medicaid3626436TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Larry Max Fort Jr. Crna 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 ID244228153
PECOS Enrollment IDI20040430001152, I20241219003147, I20250318003064, I20250922002605

Hospital Affiliations CMS Care Compare 2

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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 2

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

NINA FREDERICKS
Obstetrics & Gynecology
4323 CAROTHERS PKWY STE 208
FRANKLIN, TN 37067
Williamson County (615) 778-0010
WILLIAMSON HEALTH WOMENS GROUP OF FRANKLIN LLC
Obstetrics & Gynecology
4323 CAROTHERS PKWY STE 208
FRANKLIN, TN 37067
Williamson County (615) 778-0010

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 Larry Fort's NPI number?

The NPI number for Larry Fort is 1669402038. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Max Fort Crna.

Where is Larry Fort located?

Larry Fort practices at 4323 Carothers Pkwy Ste 208, Franklin, TN 37067. The listed phone number is (615) 778-0010.

What is Larry Fort's specialty?

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

Is Larry Fort enrolled in Medicare?

Yes. Larry Fort is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Larry Fort accept?

Health plans from Medica list Larry Fort 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.

Is Larry Fort affiliated with any hospitals?

According to CMS data, Larry Fort is affiliated with Northern Light Maine Coast Hospital and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Larry Fort was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.