Active NPI
Frank A Brown, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, AL
National Provider Identifier
1063418200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN135363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800742486B | Medicaid | GA | |
| 800742486G | Medicaid | GA | |
| 800742486K | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55340 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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. | Past | 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
- 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.
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1013213016
-
- Anesthesiology Physician
- Anniston, AL
- NPI 1386693950
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Calhoun, GA
- NPI 1629007539
-
- Home Health Agency
- Moultrie, GA
- NPI 1558375840
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1447229943
-
- Specialist
- Alpharetta, GA
- NPI 1326220567
-
- Certified Registered Nurse Anesthetist
- Albany, GA
- NPI 1437140084
Nurse Anesthetist, Certified Registered
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.