Individual provider Active NPI

Melanie Smith

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1962949305
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1127666 Issued in AL
Practice address
701 Princeton Ave SW
Birmingham, AL 35211
Phone
(334) 377-4415
Fax
(334) 377-4417
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 1127666 AL Primary

Addresses

Primary practice location

701 Princeton Ave SW
Birmingham, AL 35211

Mailing address

701 Princeton Ave SW
Birmingham, AL 35211
Phone (334) 377-4415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328001837 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890070122 Reassigns benefits to 6 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
Gut PCGroup PAC ID 3375589799, 53 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

3601 Spring Hill Business Park
Suite 201
Mobile, AL 36608
Phone (251) 873-6192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1127666ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2017 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Gut PC CurrentSince Feb 15, 2025 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2025 Accepting new patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Vigilant LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2025 Accepting new patients
Anesthesiologists Associated PC CurrentSince Jan 22, 2017 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2019 Accepting new patients
Houston County Healthcare Authority CurrentSince Sep 10, 2018 Accepting new patients

Locations

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

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900

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

107 Obrannan Park Dr
Dothan, AL 36303
Phone (334) 769-4669

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192

Organizations & group practices 12

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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1962949305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "334-377-4415",
            "fax_number": "334-377-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "334-377-4415",
            "fax_number": "334-377-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1127666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.