Individual provider Active NPI

Suzanne S Blaylock, MD

  • Anesthesiology Physician
  • Florence, AL
National Provider Identifier
1083681670
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14646 Issued in AL
Practice address
4819 Huntsville Rd
Florence, AL 35630-2936
Phone
(256) 381-7246
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 14646 AL Primary

Addresses

Primary practice location

4819 Huntsville Rd
Florence, AL 35630-2936

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 396-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000839 AL Practitioner - Anesthesiology 2567586001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keller Anesthesia ServicesGroup PAC ID 4880065929, 18 clinicians

Practice addresses (Care Compare)

1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (888) 829-0068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14646ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Anesthesia Services Anesthesiology CurrentSince Oct 26, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Networks

  • bcbs alabama network 01E0
  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083681670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-396-6930",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 HUNTSVILLE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302936",
            "telephone_number": "256-381-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "14646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.