Individual provider Active NPI

Amanda Marie Perkins, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Hoover, AL
National Provider Identifier
1194068924
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-128896 Issued in AL
Practice address
5336 Stadium Trace Pkwy
Suite 104
Hoover, AL 35244-4580
Phone
(205) 958-5394
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R081462 AR
Registered Nurse 163W00000X 1-128896 AL
Certified Registered Nurse Anesthetist 367500000X 1-128896 AL Primary

Addresses

Primary practice location

5336 Stadium Trace Pkwy
Suite 104
Hoover, AL 35244-4580

Mailing address

2964 Kelham Grove Way
Birmingham, AL 35242-6715
Phone (479) 372-2478

Other names 1

  • Amanda Marie Long Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414001212 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284876301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uab Callahan Eye Hospital AuthorityGroup PAC ID 1557516895, 50 clinicians
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

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

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R081462ARMDRegistered Nurse
1-181546ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2024 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Southern Perioperative Services P C CurrentSince Jan 27, 2014 Accepting new patients
Anesthesiologists Associated PC CurrentSince Aug 1, 2025 Accepting new patients
Uab Callahan Eye Hospital Authority CurrentSince Oct 11, 2024 Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

1720 University Blvd
Ste 500
Birmingham, AL 35233
Phone (205) 325-8100

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

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

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

5336 Stadium Trace Pkwy
Ste 104
Hoover, AL 35244
Phone (205) 795-3411

2637 Valleydale Rd
#200
Hoover, AL 35244

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.

Hospital & facility affiliations 3

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1194068924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 KELHAM GROVE WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426715",
            "telephone_number": "479-372-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "SUITE 104",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-958-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R081462",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-128896",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-128896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LONG",
            "middle_name": "MARIE",
            "credential": "C.R.N.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.