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

Mr. Phillip Tyler Stanley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104362177

Mr. Phillip Tyler Stanley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dothan, Alabama. Qualified in 2016, 10 years ago. Practices with Montgomery Anesthesia Associates, PC, a 51-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1118 Ross Clark Cir
Dothan, AL 36301-3001
Phone: (334) 793-8111
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-126879 (AL)

Record details

NPI number1104362177
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJanuary 13, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Montgomery Anesthesia Associates, Pc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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