Individual provider Active NPI

Wesley J. Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1770027146
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-131278 Issued in AL
Practice address
470 Taylor Rd
Montgomery, AL 36117-3563
Phone
(334) 226-4048
Fax
(334) 323-5675
NPI assigned
Dec 5, 2016
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 1-131278 AL Primary

Addresses

Primary practice location

470 Taylor Rd
Montgomery, AL 36117-3563

Mailing address

2151 Old Rocky Ridge Rd
Suite 106
Birmingham, AL 35216-7251
Phone (205) 989-1091

Other practice location 1

3316 Highway 280
Alexander City, AL 35010-3369
Phone (256) 329-7100

Other identifiers 1

IdentifierTypeStateIssuer
512-30191OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000532 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244514883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Creek Specialty CareGroup PAC ID 2264844638, 5 clinicians

Practice addresses (Care Compare)

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 283-2542

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Ivy Creek of Elmore, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Aug 1, 2019 Accepting new patients
Ivy Creek Specialty Care Current Accepting new patients
Ivy Creek Specialty Care CurrentSince Dec 1, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Apr 1, 2019 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Sylacauga Anesthesia PC CurrentSince Jan 21, 2019 Accepting new patients

Locations

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

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

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

44 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 404-5321

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Organizations & group practices 8

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1770027146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE RD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352167251",
            "telephone_number": "205-989-1091",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173563",
            "telephone_number": "334-226-4048",
            "fax_number": "334-323-5675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3316 Highway 280",
            "address_purpose": "LOCATION",
            "city": "Alexander City",
            "state": "AL",
            "postal_code": "350103369",
            "country_code": "US",
            "telephone_number": "256-329-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "WESLEY",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-131278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-30191",
            "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 Sep 23, 2019; 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.