1. Home
  2. Directory
  3. Alabama
  4. Fayette
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 16, 2026.

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
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0691174

Fayette Medical Center Lab · Fayette, AL
Active · expires Aug 16, 2027
CLIA Number01D0691174
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. David P. Dorn
Laboratory Phone(205) 932-1323
Laboratory LocationFayette Medical Center Lab1653 Temple Ave North, Fayette, AL 35555
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 01D2190674

Fayette Medical Center Long Term Care · Fayette, AL
Expired · Aug 17, 2026
CLIA Number01D2190674
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDavid P. Dorn Jr
Laboratory Phone(205) 932-1183
Laboratory LocationFayette Medical Center Long Term Care1653 Temple Ave North, Fayette, AL 35555
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

RELIAS EMERGENCY MEDICINE SPECIALISTS OF FAYETTE, LLC
Emergency Medicine
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (662) 432-4106
FAYETTE MEDICAL CENTER
Skilled Nursing Facility
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-1112
FAYETTE MEDICAL CENTER
Medicare Defined Swing Bed Unit
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-1280
RELIAS HOSPITALIST MEDICINE SPECIALISTS OF FAYETTE, LLC
Hospitalist
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-5966
MRS. LAURA CARYN GOFORTH LPTA
Physical Therapy Assistant
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-5966
FAYETTE MEDICAL CENTER AMBULANCE
Ambulance (Land Transport)
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 343-8500
DAKOTA S ACTON JONES M.D.
Family Medicine
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-1421
MRS. CYNTHIA L WRIGHT CRNA
Nurse Anesthetist, Certified Registered
1653 TEMPLE AVE N
FAYETTE, AL 35555
Fayette County (205) 932-5966

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 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.

Where is Fayette Medical Center-Crna located?

Fayette Medical Center-Crna is located at 1653 Temple Ave N, Fayette, AL 35555. The listed phone number is (205) 923-5966.

What is Fayette Medical Center-Crna's specialty?

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

Does Fayette Medical Center-Crna hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0691174) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fayette Medical Center-Crna was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.