Individual provider Active NPI

Lucas Alexander Trotter, CRNA

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1710217989
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-107754 Issued in AL
Practice address
4370 W Main St
Dothan, AL 36305-1056
Phone
(334) 793-5000
NPI assigned
Jan 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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 1-107754 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-1056

Mailing address

PO Box 6907
Dothan, AL 36302-6907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000686 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729113535 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dothan Anesthesiology Associates PCGroup PAC ID 2769417583, 40 clinicians

Practice addresses (Care Compare)

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 794-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-107754ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gut PC CurrentSince Apr 20, 2025 Accepting new patients
Houston County Healthcare Authority Nurse Anesthetist, Certified Registered CurrentSince Nov 28, 2012 Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Apr 20, 2025 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Houston County Healthcare Authority CurrentSince Nov 28, 2012 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2023 Accepting new patients
Dothan Anesthesiology Associates PC CurrentSince May 1, 2013 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Flowers Pathology Group, LLC Current Accepting new patients
QHG of Enterprise Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

265 Medical Park Blvd
Dothan, AL 36301
Phone (334) 305-0112

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

1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1710217989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6907",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "LUCAS",
        "middle_name": "ALEXANDER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-107754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.