JEFFREY BURGESS – Certified Registered Nurse Anesthetist, NPI 1104476977

JEFFREY BURGESS is a healthcare provider. based in Chattanooga, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 0000026641 (TN). The NPI Number for JEFFREY BURGESS is 1104476977

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY BURGESS
NPI
1104476977
Phone
(423) 698-3309
Address
2341 MCCALLIE AVE
Enumeration Date
13 September 2019
Last Update Date
11 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062726000
Graduation Year
2019 (7 years ago)
PAC ID
9032546197
Group Practice PAC ID
2769800515
Professional Enrollment ID
I20220603000728
Address ID
GA307202529DA1200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for JEFFREY BURGESS

  • 2341, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 374043239

    Phone: (423) 698-3309

    Fax: (423) 624-6355

    Type: Mailing

  • CHI Memorial Hospital, 2525, Desales Avenue, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 374041161

    Phone: (423) 495-2525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($139).

Total Amount

$168

General + Research + Ownership

Payments

4

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200302001493ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20220603000728ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope2222$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769800515View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

Can I use this page to confirm JEFFREY BURGESS's NPI?
Yes. JEFFREY BURGESS is listed with NPI 1104476977 in the public NPI dataset.
Does the file indicate JEFFREY BURGESS is practicing under active NPI?
Directory data currently reports JEFFREY BURGESS as active.
What is JEFFREY BURGESS's specialty?
The listing groups JEFFREY BURGESS with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JEFFREY BURGESS list a practice location?
Patients near Chattanooga, Tennessee may find JEFFREY BURGESS in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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