FAYETTE MEDICAL CENTER-CRNA
NPI 1194147637
Nurse Anesthetist, Certified Registered in Fayette, AL

Q: What is Fayette Medical Center-Crna's NPI number?

The NPI number for Fayette Medical Center-Crna is 1194147637. It was assigned to this organization in the NPPES registry on January 17, 2014.

Q: What is Fayette Medical Center-Crna's specialty?

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

Active since January 17, 2014CLIA 01D0691174 · Accreditation

1653 TEMPLE AVE N, FAYETTE, AL 35555(205) 923-5966(205) 932-1260 Get Directions Write a Review

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

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About Fayette Medical Center-crna NPPES

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

FAYETTE MEDICAL CENTER-CRNA (NPI 1194147637) is a healthcare organization registered as a nurse anesthetist, certified registered in Fayette, Alabama and active in the NPI registry since January 2014. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists David Herman, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1194147637

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameFAYETTE MEDICAL CENTER-CRNA

Location Address1653 TEMPLE AVE NFayette, AL 35555-1314

Mailing Address1653 Temple Ave NFayette, AL 35555-1314 · (205) 923-5966 · Fax (205) 932-1260

Phone(205) 923-5966

Fax(205) 932-1260

Organization SubpartNo

Authorized OfficialDavid HermanVp Finance · (205) 759-7297

Enumeration DateJanuary 17, 2014

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1194147637 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

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.

1653 TEMPLE AVE N, Fayette, AL 35555

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Other Identifiers 1

Other102G704766AL · Medicare Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fayette Medical Center-crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Fayette Medical Center-Crna, which bills Medicare for the services they deliver. They are listed nearest first.