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

Individual provider Certified Registered Nurse Anesthetist · NPI 1083963656

Randol B Mackey, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2012, 14 years ago. Practices with American Anesthesiology of Tennessee PC, a 304-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
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

1068 Cresthaven Rd Ste 150
Memphis, TN 38119-0800
Phone: (901) 682-2872
Fax: (901) 682-9316
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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 APN16922 (TN)

Record details

NPI number1083963656
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012
Mailing addressPo Box 171181, Memphis, TN 38187-1181

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice American Anesthesiology Of Tennessee Pc — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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