Individual provider Active NPI

Donald E. Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
National Provider Identifier
1841639283
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-106784 Issued in AL
Practice address
3719 Dauphin St
Mobile, AL 36608-1753
Phone
(251) 344-9630
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R886744 MS
Certified Registered Nurse Anesthetist 367500000X 1-106784 AL Primary

Addresses

Primary practice location

3719 Dauphin St
Mobile, AL 36608-1753

Mailing address

1613 Harrison Pkwy
Suite #200
Sunrise, FL 33323-2896
Phone (954) 838-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VT, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130828000696 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214170935 Reassigns benefits to 6 organizations
I20161005000946 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214170935 Reassigns benefits to 1 organization
I20200630001051 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214170935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians
Blue Lake Health Springhill LLCGroup PAC ID 2365830007, 47 clinicians
Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians

Practice addresses (Care Compare)

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5220

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 208-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6581CTMDOccupational Therapist
1-106784ALMDCertified Registered Nurse Anesthetist
R886744MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2013 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Blue Lake Health Springhill, LLC CurrentSince Nov 1, 2021 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
South Baldwin Anesthesia, PC CurrentSince Apr 10, 2022 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Anesthesiologists Associated PC CurrentSince May 1, 2018 Accepting new patients
Rutland Hospital, Inc. CurrentSince Jul 21, 2022 Accepting new patients
Rutland Hospital, Inc. CurrentSince Jul 21, 2022 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 8, 2020 Accepting new patients
University of South Alabama Current Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Physynergy LLC CurrentSince May 1, 2016 Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Sep 9, 2013 Accepting new patients
Rutland Hospital, Inc. Past Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

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

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

160 Allen St
Rutland, VT 05701

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 3

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1841639283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE #200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-344-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONALD",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R886744",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-106784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.