Individual provider Active NPI

Frank A Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AL
National Provider Identifier
1063418200
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN135363 Issued in GA
Practice address
1210 Jacksons Way SW
Jacksonville, AL 36265-4305
Phone
(256) 435-6999
Fax
(256) 435-6999
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55340 KS
Certified Registered Nurse Anesthetist 367500000X RN135363 GA Primary
Certified Registered Nurse Anesthetist 367500000X 1-085935 AL

Addresses

Primary practice location

1210 Jacksons Way SW
Jacksonville, AL 36265-4305

Mailing address

1210 Jacksons Way SW
Jacksonville, AL 36265-4305
Phone (256) 435-6999

Other identifiers 3

IdentifierTypeStateIssuer
800742486BMedicaidGA
800742486GMedicaidGA
800742486KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
55340KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Aesthetic and Reconstructive Surgery Center, LLC Current Accepting new patients
Colquitt Regional Health Incorporated Past Accepting new patients
Calhoun Anesthesia P C Past Accepting new patients
Henry Anesthesia Associates LLC Past Accepting new patients
North Fulton OB-GYN, P.C. PastSince Jun 19, 2024 Accepting new patients
Palmyra Professional Fees LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Solutions of Anniston Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Baltimore Pl NW
Ste 400
Atlanta, GA 30308
Phone (404) 480-4886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8406/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1063418200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 JACKSONS WAY SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362654305",
            "telephone_number": "256-435-6999",
            "fax_number": "256-435-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 JACKSONS WAY SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362654305",
            "telephone_number": "256-435-6999",
            "fax_number": "256-435-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55340",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN135363",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-085935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800742486B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800742486G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800742486K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.