Individual provider Active NPI

Aaliyah Fantroy

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1245994607
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-162500 Issued in AL
Practice address
5779 Darien Dr
Montgomery, AL 36117-3046
Phone
(334) 233-0352
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-162500 AL Primary
Certified Registered Nurse Anesthetist 367500000X 31733 SC

Addresses

Primary practice location

5779 Darien Dr
Montgomery, AL 36117-3046

Mailing address

5779 Darien Dr
Montgomery, AL 36117-3046
Phone (334) 233-0352

Other practice location 1

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 935-8538

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address afantroy202909@direct.lexmed.com
Direct Messaging Address afantroy@murraystate.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231207003872 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527417146 Reassigns benefits to 1 organization
I20260330003675 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527417146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

Hospital & facility affiliations

  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31733SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients

Locations

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

Interoperability endpoints

  • Direct secure messaging: afantroy202909@direct.lexmed.com

Organizations & group practices 2

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 2

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1245994607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5779 DARIEN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173046",
            "telephone_number": "334-233-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5779 DARIEN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173046",
            "telephone_number": "334-233-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694810",
            "country_code": "US",
            "telephone_number": "803-935-8538",
            "fax_number": "803-791-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANTROY",
        "first_name": "AALIYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-162500",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "31733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afantroy202909@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afantroy@murraystate.edu",
            "affiliation": "N",
            "address_1": "5779 Darien Dr",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361173046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.