Individual provider Active NPI

Johanna Ashley, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, AL
National Provider Identifier
1871969501
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-154311 Issued in AL
Practice address
1122 14TH Ave SE
Decatur, AL 35601-3361
Phone
(256) 560-2890
NPI assigned
Aug 17, 2015
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 1-154311 AL Primary

Addresses

Primary practice location

1122 14TH Ave SE
Decatur, AL 35601-3361

Mailing address

PO Box 757
Florence, AL 35631-0757
Phone (256) 764-9697

Other names 1

  • Johanna Peralta Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728002536 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547553463 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
Anesthesia Services of Decatur, P.C.Group PAC ID 4183618226, 14 clinicians
Crna Services of DGHGroup PAC ID 2466502455, 29 clinicians
Comprehensive Anesthesia Services PCGroup PAC ID 8123081429, 43 clinicians

Practice addresses (Care Compare)

1122 14TH Ave SE
Decatur, AL 35601-3361
Phone (256) 764-9697

1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 341-2000

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Jul 1, 2023 Accepting new patients
Crna Services of DGH Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2023 Accepting new patients
Anesthesia Services of Decatur PC CurrentSince Sep 26, 2018 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2023 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
HH Health System-Morgan Inc. Past Accepting new patients

Locations

1122 14th Ave SE
Decatur, AL 35601
Phone (256) 560-2890

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

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177

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

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

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

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

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

Organizations & group practices 9

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 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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1871969501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310757",
            "telephone_number": "256-764-9697"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "JOHANNA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-154311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "PERALTA",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 12, 2021; 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.