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

Mr. Joe Taylor Pendergrass, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1124725692

Mr. Joe Taylor Pendergrass, RN is a Certified Registered Nurse Anesthetist (CRNA) in Bristol, Tennessee. Graduated from Virginia Commonwealth University, School of Medicine in 2023, 3 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

804 Bristol Caverns Hwy
Bristol, TN 37620-9456
Phone: (423) 534-6322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 36044 (TN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 222207 (TN)

Record details

NPI number1124725692
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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 2023 (3 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

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