PREMIER ANESTHESIA OF MONTGOMERY PC
NPI 1780636233
Anesthesiology in Montgomery, AL

Active since May 16, 2006
2105 EAST SOUTH BLVD, MONTGOMERY, AL 36116(770) 643-5500(404) 941-1304 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, May 5, 2026, Aug 7, 2018 (3 updates tracked since 2018).

About Premier Anesthesia Of Montgomery Pc NPPES

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

PREMIER ANESTHESIA OF MONTGOMERY PC (NPI 1780636233) is a healthcare organization registered as an anesthesiology in Montgomery, Alabama and active in the NPI registry since May 2006. The organization maintains 5 additional practice locations and lists Randy Walker, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1780636233
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePREMIER ANESTHESIA OF MONTGOMERY PC
Location Address2105 EAST SOUTH BLVDMontgomery, AL 36116
Mailing Address2655 Northwinds PkwyAlpharetta, GA 30009-2280 · (855) 220-3662
Fax(404) 941-1304
Organization SubpartNo
Authorized OfficialRandy WalkerVp Finance · (678) 690-7812
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1780636233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
Also ListedAnesthesiologist AssistantTaxonomy 367H00000X
2105 EAST SOUTH BLVD, Montgomery, AL 36116

Secondary Practice Locations 5

Location 14340 Kings WayValdosta, GA 31602-6921 · Phone (877) 427-7775
Location 2400 Taylor RdMontgomery, AL 36117-3512 · Phone (404) 941-1210 · Fax (404) 941-1264
Location 36262 Veterans PkwyColumbus, GA 31909-3540 · Phone (877) 427-7775
Location 4124 S Memorial DrPrattville, AL 36067-3619 · Phone (404) 941-1210 · Fax (404) 941-1264
Location 5470 Taylor Rd Ste 100Montgomery, AL 36117-3532 · Phone (334) 290-4530

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Anesthesia Of Montgomery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20040105000491Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

226

Medicare enrollment records show 226 clinicians reassign Medicare billing to Premier Anesthesia Of Montgomery PC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Certified Registered Nurse Anesthetist (CRNA)167
Anesthesiology49
Anesthesiology Assistant8
Do1
Nurse Practitioner1

Nearest to this location (20)

See all 226
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962445650
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811949555
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275585457
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659951168
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 747-6922
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124324751
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 286-3579
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962210955
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841520822
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 286-3579
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083890966
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053733600
2105 E SOUTH BLVD BAPTIST HOSPITAL DEPT OF ANES
Montgomery, AL 36116
(770) 643-5619
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609338136
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104878586
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174575377
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336191881
2105 EAST SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043455462
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093563223
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295865194
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 286-3579
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639124662
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1356373948
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396797189
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1306861422
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ PECOS✔ Accepts Medicare0.2 mi
See all 226 clinicians

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

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 Premier Anesthesia Of Montgomery PC's NPI number?

The NPI number for Premier Anesthesia Of Montgomery PC is 1780636233. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Premier Anesthesia Of Montgomery PC located?

Premier Anesthesia Of Montgomery PC is located at 2105 East South Blvd, Montgomery, AL 36116. The listed phone number is (770) 643-5500.

What is Premier Anesthesia Of Montgomery PC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Premier Anesthesia Of Montgomery PC enrolled in Medicare?

Yes. Premier Anesthesia Of Montgomery PC is registered in the Medicare PECOS enrollment system.

When is Premier Anesthesia Of Montgomery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premier Anesthesia Of Montgomery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 226 clinicians in 5 Medicare specialties reassign their Medicare billing to Premier Anesthesia Of Montgomery PC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (167), Anesthesiology (49) and Anesthesiology Assistant (8). Of these, 14 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Anesthesia Of Montgomery PC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.