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

Mary Elizabeth Logan

Individual provider Certified Registered Nurse Anesthetist · NPI 1447914643

Mary Elizabeth Logan is a Certified Registered Nurse Anesthetist (CRNA) in Madison, Tennessee. Qualified in 2023, 3 years ago. Practices with Anesthesia Medical Group, PC, a 436-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 868-6503
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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 35545 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000216346 (TN)

Record details

NPI number1447914643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Anesthesia Medical Group, P.C. — 436 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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