NPIMap

Organization Active NPI

Anesthesia Consultants Medical Group PC

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1902885874
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ANESTHESIA CONSULTANTS MEDICAL GROUP PC
Practice address
1118 Ross Clark Cir
Suite 700
Dothan, AL 36301-3030
Phone
(334) 793-5105
Fax
(334) 671-5073
NPI assigned
Jan 10, 2006
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Barbara Edmonson, CPC, CPME
Title
Practice Manager
Phone
(334) 793-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir
Suite 700
Dothan, AL 36301-3030

Mailing address

1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3030
Phone (334) 793-5105

Other identifiers 1

IdentifierTypeStateIssuer
529000220MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000012 AL Part B Supplier - Clinic/Group Practice 8628975935 Receives reassigned benefits from 51 practitioners
Practice locations: Dothan, AL; Enterprise, AL

National Provider Directory

National Provider Directory

Locations

1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105

2802 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

5937 W Main St
Dothan, AL 36305
Phone (334) 446-0872

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1902885874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 700",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013030",
            "telephone_number": "334-793-5105",
            "fax_number": "334-671-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 700",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013030",
            "telephone_number": "334-793-5105",
            "fax_number": "334-671-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA CONSULTANTS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "EDMONSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "334-793-5105",
        "authorized_official_credential": "CPC, CPME"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529000220",
            "state": "AL"
        }
    ],
    "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 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.