Molly Mallett Womack, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-058398 Issued in AL

Practice address

750 Morphy Ave
Fairhope, AL 36532-1812

Phone

(251) 990-1109

Fax

(251) 990-1112

NPI assigned

May 17, 2006

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• South Baldwin Anesthesia, PC

  • Anesthesiology Physician
  • Foley, AL
  • NPI 1922345438

  AL

  Medicare reassignment Care Compare group NPD
• Eastern Shore Anesthesia PC

  • Anesthesiology Physician
  • Fairhope, AL
  • NPI 1467404558

  AL

  Medicare reassignment NPD

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

• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Baldwin Anesthesia PC 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baldwin Health Hospital, Foley, AL, CCN 010083

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1659323616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2715",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022715",
            "telephone_number": "256-353-0826",
            "fax_number": "256-350-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-990-1109",
            "fax_number": "251-990-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "MOLLY",
        "middle_name": "MALLETT",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-058398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William T Wilson, DDS
• Laura Lasecki Wimmer, DPM
• Nathaniel Scott Winstead, MD
• Stephen E Winston, MD
• Steven Philip Wittmer, MD
• William A. Womack, M.D.
• Women'S Imaging Specialists - Fairhope, LLC
• Stephanie Louise Wood, PHARM.D.
• Sarah A Wortham
• Forrest Wrenn, MD

• All providers in Fairhope, AL
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.