Individual provider Active NPI

Benjamin B. Tomlin, CRNA

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1679803696
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-104366 Issued in AL
Practice address
1725 Pine St
Montgomery, AL 36106-1109
Phone
(334) 293-8700
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN272501 GA
Certified Registered Nurse Anesthetist 367500000X 1-104366 AL Primary

Addresses

Primary practice location

1725 Pine St
Montgomery, AL 36106-1109

Mailing address

28 Bright Spot St
Pike Road, AL 36064-3841
Phone (334) 796-8297

Other identifiers 2

IdentifierTypeStateIssuer
187996MedicaidAL
511-81062OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100524000385 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901935303 Reassigns benefits to 4 organizations
I20240410002744 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901935303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians
Montgomery Anesthesia Associates, PCGroup PAC ID 9537153572, 51 clinicians
Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians

Practice addresses (Care Compare)

103 Helton CT
Florence, AL 35630-1464
Phone (205) 848-2925

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 513-1173

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lake Health Alabama, LLC CurrentSince Mar 13, 2025 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2010 Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2024 Accepting new patients
Anesthesia Associates of Columbus PA Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2024 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince May 13, 2025 Accepting new patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered PastSince Feb 1, 2024 Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

470 Taylor Rd
Ste 100
Montgomery, AL 36117
Phone (334) 284-9600

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

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1679803696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BRIGHT SPOT ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360643841",
            "telephone_number": "334-796-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061109",
            "telephone_number": "334-293-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "BENJAMIN",
        "middle_name": "B.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN272501",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-104366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187996",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-81062",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.