Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mark Joly, CRNA

Individual provider Registered Nurse · NPI 1407360696

Mark Joly, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Nashville, Tennessee. Qualified in 2017, 9 years ago. Practices with Anesthesia Medical Group, PC, a 436-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

110 29th Ave N Ste 202
Nashville, TN 37203-1448
Phone: (615) 327-4304
Fax: (615) 327-7940
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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 23666 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 206164 (TN)

Record details

NPI number1407360696
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 27, 2017
Last updated in NPPESJanuary 5, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Anesthesia Medical Group, P.C. — 436 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Anesthesia Medical Group, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 436 clinicians in the practice; 12 are shown here.

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