Active NPI
Mark M Blair, CRNA
- Certified Registered Nurse Anesthetist
- Opelika, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209001203
- Practice address
- 2000 Pepperell Pkwy
Opelika, AL 36801-5452 - Phone
- (334) 528-2499
- NPI assigned
- Jun 1, 2006
- Last updated
- Aug 27, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-094483 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209001203 | IL | Primary |
Addresses
Primary practice location
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Mailing address
PO Box 627
Auburn, AL 36831-0627
Phone (800) 232-5703
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209001203 | Other | IL | CRNA LIC |
| 039441 | Other | AL | CRNA RECERTIFICATION |
| 1-094483 | Other | AL | RN & CRNA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mblair31853@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AL, GA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041217895 | IL | MD | Registered Nurse |
| 209001203 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Quincy Anesthesia Associates | Past | Accepting new patients | |
| Premier Anesthesia of Danville | Past | Accepting new patients | |
| Premier Anesthesia of Urbana | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| DM Anesthetists of Il, LLC | Registered Nurse | Past | Accepting new patients |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Christie Clinic, PLLC | Past | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Organizations & group practices 9
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
- Quincy, IL
- NPI 1255515342
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Opelika, AL
- NPI 1245201771
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
- Registered Nurse
- Belleville, IL
- NPI 1629020854
-
- Anesthesiology Physician
- Danville, IL
- NPI 1366517583
-
dba Premier Anesthesia of Illinois
- Anesthesiology Physician
- Alpharetta, GA
- NPI 1528098357
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1013023985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1639116254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 627",
"city": "AUBURN",
"state": "AL",
"postal_code": "368310627",
"telephone_number": "800-232-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PEPPERELL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015452",
"telephone_number": "334-528-2499"
}
],
"practiceLocations": [
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAIR",
"first_name": "MARK",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-094483",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209001203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LIC",
"identifier": "209001203",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA RECERTIFICATION",
"identifier": "039441",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN & CRNA LICENSE",
"identifier": "1-094483",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mblair31853@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1005 Broadway St",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Opelika, AL
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care-Opelika)
- Harold Todd Blackmon, FNP
- Jonathan Taylor Blackmon, DO
- Ashley Blair, CRNP
- Corey Blair, CRNA
- Elizabeth Ann Bloodgood, P.T.
- Meredith Strickland Blythe, FNP-BC
- William R Blythe, M.D.
- Patrinia D Bolden-Smith, MSW
- William Forrest Bonner, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.