Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Corbett

Individual provider Registered Nurse · NPI 1639876261

Jack Corbett is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Graduated from Virginia Commonwealth University, School of Medicine in 2024, 2 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
TN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (252) 227-6557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 37987 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 239734 (TN)

Record details

NPI number1639876261
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address10415 Wallace Alley St, Kingsport, TN 37663-3936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingsport