NPIMap

Organization Active NPI

Vigilant LLC

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1295234722
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
VIGILANT LLC
Practice address
107 Obrannan Park Dr
Dothan, AL 36303
Phone
(334) 769-4669
NPI assigned
Feb 11, 2018
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Stephen Guy Harrell, CRNANPI 1427392091
Title
Owner
Phone
(334) 798-1816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

107 Obrannan Park Dr
Dothan, AL 36303

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

Other names 1

  • Vigilant Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918000734 AL Part B Supplier - Clinic/Group Practice 4587919089 Receives reassigned benefits from 8 practitioners
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1295234722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "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": "107 OBRANNAN PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-769-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-798-1816",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vigilant",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.