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MR. DARRELL C HERNDON CRNA
NPI 1104807577
Nurse Anesthetist, Certified Registered in Birmingham, AL

Active since November 10, 2005
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7296(205) 930-7256 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Darrell C Herndon Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DARRELL C HERNDON CRNA (NPI 1104807577) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (1-040120) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1104807577
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DARRELL C HERNDONCredential: CRNA
Location Address1201 11TH AVE SBirmingham, AL 35205-3423
Mailing AddressPo Box 55905Birmingham, AL 35255-5905 · (205) 979-5882 · Fax (205) 979-1248
Phone(205) 930-7296
Fax(205) 930-7256
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 2, 2010
✔ NPI 1104807577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-040120
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1201 11TH AVE S, Birmingham, AL 35205
Open in Google Maps ↗

Other Identifiers 5

Other515-33846AL · Bc Bs Of Al
Medicaid051557594AL
Medicare UPINR77113AL
Medicare PIN051557594AL
OtherP00729289AL · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Darrell C Herndon Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Darrell Herndon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama At Birmingham
0.5 mi
Optometrist
1701 9TH AVE S
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
NPI 1780791376 (205) 934-5161
University Of Alabama Health Services Foundation, PC
0.6 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANYET BELYEU
Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7155
MS. KIARA LAJADA KNIGHT
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 934-3411
MR. CECIL FOSTER HACKNEY
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7050
GEORGE R. WELLS III M.D.
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7246
DR. CAROLINE F SULLIVAN CRNP
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 934-9700
MR. CLARK EDWARD TINSLEY II RN
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7790
JULIE ELISE MAULDIN
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (256) 626-0319
MRS. AUDREY WOODS
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 939-4939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrell Herndon's NPI number?

The NPI number for Darrell Herndon is 1104807577. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Darrell Herndon located?

Darrell Herndon practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-7296.

What is Darrell Herndon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Darrell Herndon enrolled in Medicare?

Yes. Darrell Herndon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Darrell Herndon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darrell Herndon reassigns Medicare benefits to 2 organizations: University Of Alabama At Birmingham (Birmingham, AL) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darrell Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Darrell Herndon was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.