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

Samuel Durham, RN, BSN, CCRN

Individual provider Certified Registered Nurse Anesthetist · NPI 1912616707

Samuel Durham, RN, BSN, CCRN is a Certified Registered Nurse Anesthetist (CRNA) in Madison, Tennessee. Qualified in 2025, 1 year ago. Practices with Lifelinc Anesthesia VIII PLLC, a 152-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
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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 250468 (TN)

Record details

NPI number1912616707
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , BSN , CCRN
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lifelinc Anesthesia Viii Pllc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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