Individual provider Active NPI

Randall Alban, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1124407739
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-135713 Issued in AL
Practice address
2100 Southbridge Parkway
Suite 650
Birmingham, AL 35209
Phone
(256) 323-2218
NPI assigned
May 28, 2015
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001999 AL Practitioner - Nurse Practitioner 1254631203 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
1-135713ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC Nurse Practitioner CurrentSince Oct 7, 2015 Accepting new patients
Houston County Healthcare Authority Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Birmingham Internal Medicine Associates, LLC CurrentSince Nov 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 11, 2021 Accepting new patients
Aspire Health Medical Partners of Middle Tennessee PC PastSince Jun 1, 2014 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.