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

Joseph Michael Sudderth

Individual provider Certified Registered Nurse Anesthetist · NPI 1619483658

Joseph Michael Sudderth is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2018, 8 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
8
Licensed in
MS, TN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone: (901) 226-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 217268 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 901521 (MS)

Record details

NPI number1619483658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 27, 2017
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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