Individual provider Active NPI

Carmen Ryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1770021016
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-081559 Issued in AL
Practice address
4370 W Main St
Dothan, AL 36305-1056
Phone
(334) 793-5000
NPI assigned
Feb 7, 2017
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 1-081559 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-1056

Mailing address

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170407001013 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254617178 Reassigns benefits to 9 organizations
I20240826000770 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254617178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Florida State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Anesthesia Associates IncGroup PAC ID 0749273282, 16 clinicians
Dothan Anesthesiology Associates PCGroup PAC ID 2769417583, 40 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 482-7200

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-081559ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Management LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2023 Accepting new patients
Dothan Anesthesiology Associates PC CurrentSince Feb 14, 2017 Accepting new patients
Jackson Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince May 30, 2024 Accepting new patients
Gut PC Current Accepting new patients
Wilson Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2024 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2018 Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2021 Accepting new patients
Veronox Anesthesia, LLC CurrentSince Nov 1, 2020 Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Flowers HB Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2025 Accepting new patients
Gut Endo, LLC PastSince May 9, 2021 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

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

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

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

301 Medical Park Blvd
Dothan, AL 36301
Phone (334) 305-2699

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

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

201 E Watts St
Enterprise, AL 36330
Phone (334) 383-5474

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

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

3024 4th St
Marianna, FL 32446
Phone (850) 258-3148

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

2500 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 522-7951

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1770021016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000"
        },
        {
            "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": "RYAN",
        "first_name": "CARMEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-081559",
            "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 Feb 7, 2017; 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.