Individual provider Active NPI

Nolan Lyda, DNP

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1275156242
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-150278 Issued in AL
Practice address
1802 6TH Ave S
Birmingham, AL 35233-1932
Phone
(205) 960-0966
NPI assigned
May 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 1-150278 AL Primary

Addresses

Primary practice location

1802 6TH Ave S
Birmingham, AL 35233-1932

Mailing address

Martin Army Community Hospital
6600 Van Aalst Blvd. BLD 9250
Ft. Benning, GA 31905
Phone (762) 408-0456

Other practice location 1

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

Other practice location 2

Martin Army Community Hospital
6600 Van Aalst Blvd. Bld 9250
Ft. Benning, GA 31905
Phone (762) 408-0456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819003504 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517383680 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians

Practice addresses (Care Compare)

103 Helton CT
Florence, AL 35630-1464
Phone (205) 848-2925

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince May 8, 2021 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Aug 26, 2023 Accepting new patients
Uab Callahan Eye Hospital Authority CurrentSince May 8, 2021 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Aug 26, 2023 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Sep 30, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 10, 2020 Accepting new patients
Sylacauga Anesthesia PC CurrentSince Jul 22, 2022 Accepting new patients
Alabama Orthopedic Spine & Sports Medicine Associates P C CurrentSince Feb 1, 2025 Accepting new patients
Tombigbee Healthcare Authority Current Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

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

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

2637 Valleydale Rd
#200
Hoover, AL 35244

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

44 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 404-5321

Interoperability endpoints

  • Direct secure messaging: nlyda@direct.uabmedicine.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1275156242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
            "address_2": "6600 VAN AALST BLVD. BLD 9250",
            "city": "FT. BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "762-408-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "205-960-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Gadsden Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353134",
            "country_code": "US",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Martin Army Community Hospital",
            "address_2": "6600 Van Aalst Blvd. Bld 9250",
            "address_purpose": "LOCATION",
            "city": "Ft. Benning",
            "state": "GA",
            "postal_code": "31905",
            "country_code": "US",
            "telephone_number": "762-408-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDA",
        "first_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-150278",
            "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 Mar 13, 2025; 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.