Individual provider Active NPI

Pamela Ruth Defleron, CRNA

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1831460765
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1062218 Issued in AL
Practice address
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone
(334) 793-8087
Fax
(334) 793-8191
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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 1062218 AL Primary

Addresses

Primary practice location

1108 Ross Clark Cir
Dothan, AL 36301-3022

Mailing address

PO Box 1928
Dothan, AL 36302-1928
Phone (334) 793-8087

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120229000261 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284892878 Reassigns benefits to 8 organizations
I20211214000385 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284892878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants Medical Group PCGroup PAC ID 8628975935, 15 clinicians
Houston County Healthcare AuthorityGroup PAC ID 9436062296, 256 clinicians
Dale Medical CenterGroup PAC ID 3476466327, 29 clinicians
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 445-4803

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Hospital & facility affiliations

  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1062218ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2012 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Nov 15, 2021 Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Dale Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2023 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Dale Medical Center Current Accepting new patients
Houston County Healthcare Authority Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Mar 22, 2025 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Nov 15, 2021 Accepting new patients
Houston County Healthcare Authority CurrentSince Dec 1, 2017 Accepting new patients
Gut PC CurrentSince Mar 22, 2025 Accepting new patients
Dale Medical Center CurrentSince Jul 25, 2023 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Community Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2024 Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2022 Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953

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

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

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

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

3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

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

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

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

Organizations & group practices 18

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.

View all 18

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1831460765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021928",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLERON",
        "first_name": "PAMELA",
        "middle_name": "RUTH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1062218",
            "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 24, 2012; 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.