Individual provider Active NPI

Colleen Mellown

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1245278274
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-073595 Issued in AL
Practice address
1717 6TH Ave S
Birmingham, AL 35233-1801
Phone
(800) 822-8816
NPI assigned
Jun 3, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-073595 AL Primary

Addresses

Primary practice location

1717 6TH Ave S
Birmingham, AL 35233-1801

Mailing address

1717 6TH Ave S
Birmingham, AL 35233-1801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317000952 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315959897 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-073595ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Gut PC Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 14, 2019 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority Nurse Anesthetist, Certified Registered Current Accepting new patients
Tuscaloosa Anesthesia Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince Dec 3, 2018 Accepting new patients
Anesthesiologists Associated PC CurrentSince Feb 25, 2016 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Dec 3, 2018 Accepting new patients
Houston County Healthcare Authority CurrentSince Dec 3, 2017 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2018 Accepting new patients
Veronox Anesthesia, LLC CurrentSince Dec 1, 2018 Accepting new patients
Southern Perioperative Services P C CurrentSince Sep 15, 2021 Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2018 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2016 Accepting new patients
Birmingham Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2018 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2018 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered PastSince Feb 1, 2024 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

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

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

2010 Brookwood Medical Ctr Dr
#G100
Birmingham, AL 35209

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

52 Medical Park Dr E
Ste 401
Birmingham, AL 35235
Phone (205) 838-3524

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

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

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

201 E Watts St
Enterprise, AL 36330
Phone (334) 383-5474

1 Independence Plz
Homewood, AL 35209
Phone (205) 307-0484

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1400 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-5500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 22

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.

View all 22

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1245278274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801",
            "telephone_number": "800-822-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOWN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-073595",
            "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 Oct 25, 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.