FAYETTE MEDICAL CENTER-CRNA
NPI 1194147637
Nurse Anesthetist, Certified Registered in Fayette, AL
NPI Status: Active since January 17, 2014
Contact Information
1653 TEMPLE AVE N
FAYETTE, AL
ZIP 35555
Phone: (205) 923-5966
Fax: (205) 932-1260
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 01D0691174
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-16-2027
About FAYETTE MEDICAL CENTER-CRNA
This page provides the complete NPI Profile along with additional information for Fayette Medical Center-crna, a provider established in Fayette, Alabama operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1194147637 assigned on January 2014. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Donald J Jones (Administrator)
- NPI
- 1194147637
- Provider Name
- FAYETTE MEDICAL CENTER-CRNA
- Entity Type
- Organization
- Location Address
- 1653 TEMPLE AVE N FAYETTE, AL 35555
- Location Phone
- (205) 923-5966
- Location Fax
- (205) 932-1260
- Mailing Address
- 1653 TEMPLE AVE N FAYETTE, AL 35555
- Mailing Phone
- (205) 923-5966
- Mailing Fax
- (205) 932-1260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2014
- Last Update Date
- 05-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102G704766 | OTHER (01) | AL | MEDICARE ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0691174
- Facility Type
- Hospital
- Certificate Effective Date
- August 17, 2025
- Certificate Expiration Date
- August 16, 2027
- Laboratory Director
- DR. DAVID P. DORN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Fayette Medical Center-crna on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194147637, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
FAYETTE, AL 35555
FAYETTE, AL 35555
FAYETTE, AL 35555
FAYETTE, AL 35555
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194147637, enumerated as an "organization" on January 17, 2014.
The provider is located at 1653 TEMPLE AVE N FAYETTE, AL 35555 and the phone number is (205) 923-5966.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
