Active NPI
John R. Slayton, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-033082
- Practice address
- 470 Taylor Rd
Montgomery, AL 36117-3563 - Phone
- (334) 226-4048
- Fax
- (334) 323-5675
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-033082 | AL | Primary |
Addresses
Primary practice location
470 Taylor Rd
Montgomery, AL 36117-3563
Mailing address
2151 Old Rocky Ridge Road
Suite 106
Birmingham, AL 35216-7251
Phone (205) 989-1080
Other practice location 1
855 E South Blvd
Montgomery, AL 36116-2307
Phone (334) 386-2055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060970 | Medicaid | AL | |
| 510-60970 | Other | AL | BCBS |
| 430052626 | Other | AL | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
470 Taylor Rd
Suite 100
Montgomery, AL 36117-3532
Phone (334) 290-4530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-033082 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
470 Taylor Rd
Ste 100
Montgomery, AL 36117
Phone (334) 284-9600
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1912974254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 OLD ROCKY RIDGE ROAD",
"address_2": "SUITE 106",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352167251",
"telephone_number": "205-989-1080",
"fax_number": "205-989-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-226-4048",
"fax_number": "334-323-5675"
}
],
"practiceLocations": [
{
"address_1": "855 E South Blvd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361162307",
"country_code": "US",
"telephone_number": "334-386-2055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAYTON",
"first_name": "JOHN",
"middle_name": "R.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-033082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000060970",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-60970",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "430052626",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.