Randall J Wilson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1083888 Issued in AL

Practice address

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Phone

(256) 386-4005

Fax

(256) 386-4685

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens and Limestone County Healthcare AuthorityGroup PAC ID 3870641863, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Athens and Limestone County Healthcare Authority

  dba Athens Limestone CRNA Group

  • Certified Registered Nurse Anesthetist
  • Athens, AL
  • NPI 1093951188

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Attentus Moulton, LLC

  dba Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1124062286
  Medicare reassignment NPD
• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Medicare reassignment NPD
• Huntsville Hospital Anesthesia

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
  • NPI 1851321079

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Attentus Moulton, LLC

  dba Lawrence Medical Center Anesthesia

  • Certified Registered Nurse Anesthetist
  • Moulton, AL
  • NPI 1174968572

  Nurse Anesthetist, Certified Registered

  NPD
• Attentus Moulton, LLC

  dba Lawrence Medical Center

  • General Acute Care Hospital
  • Moulton, AL
  • NPI 1568453389
  NPD
• Attentus Moulton, LLC

  dba Moulton Primary Care Clinic

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1760930200
  NPD
• HH Health System - Shoals LLC

  dba Red Bay Hospital

  • Critical Access Hospital
  • Red Bay, AL
  • NPI 1073601043
  NPD
• Medexpress Red Bay LLC

  • Rural Health Clinic/Center
  • Red Bay, AL
  • NPI 1013375237
  NPD
• Shoals Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Sheffield, AL
  • NPI 1750607701
  NPD
• Colbert Co Northwest Al Healthcare Authority

  dba Keller Community Hospice

  • Community Based Hospice Care Agency
  • Red Bay, AL
  • NPI 1861576688
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Athens Limestone, LLC

  dba Athens Limestone Hospital

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396846499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARBORVIEW CT NE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356011630",
            "telephone_number": "256-642-1344",
            "fax_number": "256-353-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "256-386-4005",
            "fax_number": "256-386-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RANDALL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1083888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Welborn Jr., M. D.
• Connie Sherril White, CRNP
• Jerry Brent Williams, M.D.
• Dwight Wilson, LPC
• Melissa Ann Wilson, CRNP, FNP-C
• Yielding & Yielding, PC (Yielding Family Medicine)
• Michael Robert Yordy, M.D.
• Grace Zills, CRNP
• Deborah A. Zwick, M.D.

• Certified Registered Nurse Anesthetist in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.