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

Ryan Justice McCormack, CRNA

Individual provider Registered Nurse · NPI 1851984850

Ryan Justice McCormack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Chattanooga, Tennessee. Qualified in 2021, 5 years ago. Practices with American Anesthesiology of Tennessee PC, a 304-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
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

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone: (423) 495-2525
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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 30840 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000214047 (TN)

Record details

NPI number1851984850
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice American Anesthesiology Of Tennessee Pc — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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