| Cody Reade Sims, | |
|
615 Mccallie Ave, Chattanooga, TN 37403-2504 | |
| (423) 425-4644 | |
| (423) 425-4668 |
| Full Name | Cody Reade Sims |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 615 Mccallie Ave, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245066059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000207426 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 38044 (Tennessee) | Primary |
| Entity Name | Anesthesiology Consultants Exchange, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670218 PECOS PAC ID: 2365434297 Enrollment ID: O20040331001631 |
| Entity Name | Southeastern Surgical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326796426 PECOS PAC ID: 7911393509 Enrollment ID: O20220520002345 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Reade Sims, 975 E 3rd St, Chattanooga, TN 37403-2173 Ph: () - | Cody Reade Sims, 615 Mccallie Ave, Chattanooga, TN 37403-2504 Ph: (423) 425-4644 |
Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040 | |
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 | |
Eun Hyea Godbold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525 | |
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400 | |
Susan L Battles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E Third St, Chattanooga, TN 37403 Phone: 423-778-7608 Fax: 423-778-2360 |