Active NPI
Gary Russell Mills, CRNA
- Certified Registered Nurse Anesthetist
- Valley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-064026
- Practice address
- 4800 48TH St
Valley, AL 36854-3666 - Phone
- (256) 283-7878
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-064026 | AL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000010352 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 2006026603 | MO |
Addresses
Primary practice location
4800 48TH St
Valley, AL 36854-3666
Mailing address
PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060222000471 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4880600295 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates of East Alabama LLC
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411
Hospital & facility affiliations
- The East Alabama Healthcare Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-064026 | AL | MD | Certified Registered Nurse Anesthetist |
| 2006026603 | MO | MD | Certified Registered Nurse Anesthetist |
| APN0000010352 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of East Alabama LLC | Current | Accepting new patients | |
| Ahp of Central Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Eclipse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Care of Tullahoma, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1972638047
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tullahoma, TN
- NPI 1902849607
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Macon, GA
- NPI 1811174964
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1366420622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661495",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352661495",
"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": "4800 48TH ST",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543666",
"telephone_number": "256-283-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "GARY",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-064026",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000010352",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2006026603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.