Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Performance Anesthesia Inc

Organization Certified Registered Nurse Anesthetist · NPI 1700135720

Performance Anesthesia Inc provides Certified Registered Nurse Anesthetist services in Moulton, Alabama. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 Hospital St
Moulton, AL 35650-1218 Not confirmed with CMS for 14 years — call before visiting
Phone: (256) 974-2200
Fax: (256) 216-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1700135720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Wilson — Owner · (205) 979-5882
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012
Mailing addressPo Box 660257, Birmingham, AL 35266-0257

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