LARRY MAX JR. FORT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669402038
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for LARRY MAX JR. FORT (CRNA)
725 S JAMES CAMPBELL BLVD
COLUMBIA, TN 384015962
Phone: (931) 381-3700
Fax: (931) 381-9093
Type: Location
2534 SAINT JAMES DR
FRANKLIN, TN 370646753
Phone: (615) 585-6218
Type: Mailing
9576 Hwy 70
Minocqua, WI 545489067
Phone: (715) 358-1767
Type: Location
10101 Ramsey Way Ste A
Dickson, TN 370551085
Phone: (615) 326-5585
Fax: (615) 326-5595
Type: Location
299, Fall Brook Circle, Clifton Springs, Manchester, Ontario County, New York, 14432, United States
MANCHESTER, TN 373490299
Phone: (931) 728-5607
Fax: (931) 728-8354
Type: Mailing
4323 CAROTHERS PKWY STE 208
FRANKLIN, TN 370675916
Phone: (615) 778-0010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: ABBVIE INC. ($231).
Total Amount
$231
General + Research + Ownership
Payments
11
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $231 |
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: 2025-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040430001152 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20240614002566 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20241219003147 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
| I20250318003064 | I | Certified Registered Nurse Anesthetist (Crna) | ME | TBD |
| I20250922002605 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00103 | Anesthesia for procedure on eyelid | 31 | 31 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 31 | 30 | $0 |
| 00902 | Anesthesia for procedure on anus and rectum | 21 | 21 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 38401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ME | |
| Pain Management, Anesthesiology | ME | |
| Physician Assistant | ME | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | ME | |
| General Surgery | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ME | |
| Internal Medicine | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.