Individual provider Active NPI

John G. Nicholas, M.D.

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1891733036
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00011406 Issued in AL
Practice address
1600 Carraway Blvd
Birmingham, AL 35234-1913
Phone
(205) 502-6817
Fax
(205) 502-5152
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00011406 AL Primary

Addresses

Primary practice location

1600 Carraway Blvd
Birmingham, AL 35234-1913

Mailing address

PO Box 55059
Birmingham, AL 35255-5059
Phone (256) 764-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000155 AL Practitioner - Anesthesiology 7911819503 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00011406ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Perioperative Services P C Anesthesiology CurrentSince Jun 17, 2000 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 18, 2024 Accepting new patients
Med-West Anesthesia PC Anesthesiology Past Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

4511 Southlake Pkwy
Hoover, AL 35244
Phone (205) 985-4398

7191 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 408-6600

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

2501 Meadowview Ln
Ste 101
Pelham, AL 35124
Phone (205) 685-5357

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

1400 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-5500

Interoperability endpoints

  • Direct secure messaging: johnnicholas@direct.uabmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891733036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55059",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555059",
            "telephone_number": "256-764-9697",
            "fax_number": "256-764-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CARRAWAY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352341913",
            "telephone_number": "205-502-6817",
            "fax_number": "205-502-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "JOHN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00011406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.