Individual provider Active NPI

Barry G. Black, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, AL
National Provider Identifier
1801853593
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-066229 Issued in AL
Practice address
1122 14TH Ave SE
Decatur, AL 35601-3361
Phone
(256) 560-2890
Fax
(256) 350-2609
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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 1-066229 AL Primary

Addresses

Primary practice location

1122 14TH Ave SE
Decatur, AL 35601-3361

Mailing address

1900 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 353-0626

Other identifiers 1

IdentifierTypeStateIssuer
51526755OtherBCBS OF AL PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040821000032 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092789529 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians
Athens and Limestone County Healthcare AuthorityGroup PAC ID 3870641863, 23 clinicians

Practice addresses (Care Compare)

245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-8120

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athens and Limestone County Healthcare Authority Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2014 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Feb 1, 2020 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2005 Accepting new patients
Crna Services of DGH Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2014 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

22454 US Highway 72
Athens, AL 35613
Phone (256) 233-9292

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Organizations & group practices 5

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 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1801853593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-353-0626",
            "fax_number": "256-350-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013361",
            "telephone_number": "256-560-2890",
            "fax_number": "256-350-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BARRY",
        "middle_name": "G.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-066229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PIN",
            "identifier": "51526755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.