Individual provider Active NPI

Sheila L Ward-Adcock, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1154369080
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-026601 Issued in AL
Practice address
1720 University Blvd
Birmingham, AL 35233-1816
Phone
(205) 325-8500
Fax
(205) 325-8809
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R111181 GA
Certified Registered Nurse Anesthetist 367500000X 1-026601 AL Primary
Registered Nurse 163W00000X 1-026601 AL
Certified Registered Nurse Anesthetist 367500000X RN111181 GA

Addresses

Primary practice location

1720 University Blvd
Birmingham, AL 35233-1816

Mailing address

PO Box 660685
Birmingham, AL 35266-0685
Phone (205) 979-5882

Other identifiers 2

IdentifierTypeStateIssuer
00624643CMedicaidGA
000624643CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060607000090 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446262539 Reassigns benefits to 1 organization
I20160322002041 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446262539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 325-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-026601ALMDCertified Registered Nurse Anesthetist
R111181GAMDCertified Registered Nurse Anesthetist
RN111181GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2016 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince May 1, 2013 Accepting new patients
Uab Callahan Eye Hospital Authority CurrentSince Feb 6, 2016 Accepting new patients
Central Alabama Anesthesiology, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Gwinnett Anesthesia Service PC Past Accepting new patients

Locations

100 Pilot Medical Dr
Ste 300
Birmingham, AL 35235
Phone (205) 856-2284

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1154369080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660685",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660685",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 UNIVERSITY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331816",
            "telephone_number": "205-325-8500",
            "fax_number": "205-325-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-ADCOCK",
        "first_name": "SHEILA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "R111181",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-026601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-026601",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN111181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624643C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000624643C",
            "state": "GA"
        }
    ],
    "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 Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.