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

Individual provider Registered Nurse · NPI 1861062200

Amy Jill Formby is a Certified Registered Nurse Anesthetist (CRNA) in Birmingham, Alabama. Qualified in 2022, 4 years ago. Practices with Anesthesia Associates, a 61-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2021
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Practice location Address checks out

800 Lakeshore Dr
Birmingham, AL 35229-0001
Phone: (205) 726-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1-126419 (AL)

Record details

NPI number1861062200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address800 Lakeshore Dr, Birmingham, AL 35229-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anesthesia Associates — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Birmingham