Active NPI
Carol Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-078067
- Practice address
- 810 Saint Vincents Dr
Birmingham, AL 35205-1601 - Phone
- (205) 930-2781
- Fax
- (205) 930-2505
- NPI assigned
- May 6, 2010
- Last updated
- May 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-078067 | AL | Primary |
Addresses
Primary practice location
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Mailing address
2731 Cherokee Dr
Birmingham, AL 35216-1007
Phone (205) 441-6219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-078067 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
Nurse Anesthetist, Certified Registered
-
dba SAM Critical Response Service
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grandview Medical Center
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
dba Baptist Health Brookwood Hospital
- General Acute Care Hospital
- Birmingham, AL
- NPI 1003260480
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1568780146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 CHEROKEE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352161007",
"telephone_number": "205-441-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SAINT VINCENTS DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051601",
"telephone_number": "205-930-2781",
"fax_number": "205-930-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CAROL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-078067",
"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 May 6, 2010; 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.