Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Anesthesia of Montgomery PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1780636233

Premier Anesthesia of Montgomery PC is an Oral & Maxillofacial Surgery (D.M.D.) in Montgomery, Alabama. Works from 6 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2006
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2105 E South Blvd
Montgomery, AL 36116
Phone: (770) 643-5500
Fax: (404) 941-1304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 400 Taylor Rd, Montgomery, AL 36117-3512 — (404) 941-1210
  • 470 Taylor Rd Ste 100, Montgomery, AL 36117-3532 — (334) 290-4530
  • 124 S Memorial Dr, Prattville, AL 36067-3619 — (404) 941-1210
  • 6262 Veterans Pkwy, Columbus, GA 31909-3540 — (877) 427-7775
  • 4340 Kings Way, Valdosta, GA 31602-6921 — (877) 427-7775

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (AL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Certified Registered Nurse Anesthetist Taxonomy 367500000X
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1780636233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Walker — Vp Finance · (678) 690-7812
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2655 Northwinds Pkwy, Alpharetta, GA 30009-2280