Active NPI
Randall Alban, CRNP
- Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-135713
- Practice address
- 2100 Southbridge Parkway
Suite 650
Birmingham, AL 35209 - Phone
- (256) 323-2218
- NPI assigned
- May 28, 2015
- Last updated
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-135713 | AL | Primary |
Addresses
Primary practice location
2100 Southbridge Parkway
Suite 650
Birmingham, AL 35209
Mailing address
333 Commerce St
Ste.700
Nashville, TN 37201-1826
Phone (615) 913-5086
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-135713 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners, PC | Nurse Practitioner | Current | Accepting new patients |
| Houston County Healthcare Authority | Nurse Practitioner | Current | Accepting new patients |
| Birmingham Internal Medicine Associates, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Aspire Health Medical Partners of Middle Tennessee PC | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060
70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284
7201 Happy Hollow Rd
Trussville, AL 35173
Phone (205) 445-0661
75 Remittance Dr
#74977
Chicago, IL 60675
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/24009/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
AL, Nurse Practitioner
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1215372354
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1124407739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST",
"address_2": "STE.700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011826",
"telephone_number": "615-913-5086",
"fax_number": "888-494-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SOUTHBRIDGE PARKWAY",
"address_2": "SUITE 650",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "256-323-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBAN",
"first_name": "RANDALL",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-135713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.