Individual provider Active NPI

Michael G Beavers, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1639300445
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9183911 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 667-0444
Fax
(407) 667-4338
NPI assigned
Jul 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9183911 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

291 Southhall LN
Suite 201
Maitland, FL 32751-7274
Phone (407) 667-0444

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidFL
PENDINGOtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001941 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820136203 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Orthopedic Spine and Sports Medicine Associates P CGroup PAC ID 5395643068, 46 clinicians
The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Practice addresses (Care Compare)

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4467

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
58.1
Promoting interoperability
96
Improvement activities
40
Cost
72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medfusions Nurse Anesthetist, Certified Registered CurrentSince Mar 10, 2025 Accepting new patients
Sylacauga Health Care Authority CurrentSince Jun 3, 2024 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Jun 3, 2024 Accepting new patients
Alabama Orthopedic Spine & Sports Medicine Associates P C CurrentSince Jun 1, 2025 Accepting new patients
The Sylacauga Health Care Authority Current Accepting new patients
Montgomery Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Jan 1, 2021 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Highland Rim Anesthesia, P.C. Past Accepting new patients
Waterman Anesthesiology Group PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

118 Mars Hill Rd
Hoover, AL 35244
Phone (205) 228-7600

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

2752 Zelda Rd
Montgomery, AL 36106
Phone (334) 270-9677

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

110 S Anniston Ave
Sylacauga, AL 35150
Phone (256) 207-0200

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

120 Rice Mine Rd N
Tuscaloosa, AL 35406
Phone (205) 345-0010

25B Hanover Rd
Ste 250
Florham Park, NJ 07932

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1639300445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SOUTHHALL LN",
            "address_2": "SUITE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517274",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9183911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.