ALTO LEE III JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053378059

ALTO LEE III JOHNSON (CRNA) is a healthcare provider. based in Dothan, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-073082 (AL). The NPI Number for ALTO LEE III JOHNSON (CRNA) is 1053378059

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ALTO LEE III JOHNSON (CRNA)
NPI
1053378059
Phone
(334) 793-8087
Address
PO BOX 1928
Enumeration Date
26 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347323010
Graduation Year
2002 (24 years ago)
PAC ID
8022048818
Group Practice PAC ID
5193780955
Professional Enrollment ID
I20111012000633
Address ID
AL368677483PH4401XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for ALTO LEE III JOHNSON (CRNA)

  • Dothan Post Office, West Burdeshaw Street, Dothan, Houston County, Alabama, 36303, United States

    DOTHAN, AL 363021928

    Phone: (334) 793-8087

    Fax: (334) 793-8191

    Type: Mailing

  • Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    DOTHAN, AL 363013022

    Phone: (334) 793-8087

    Fax: (334) 793-8191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111012000633ICertified Registered Nurse Anesthetist (Crna)ALTBD
I20221004000651ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement3838$0
00670Anesthesia for extensive surgery on spine2020$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1818$0
01214Anesthesia for total hip replacement1616$0
View full utilization report →

Insurance plans in this area (ZIP 36302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193780955View full group profile
NameSpecialtyState
-GA
-TN
-GA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YMI
-AL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Does ALTO LEE III JOHNSON (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALTO LEE III JOHNSON (CRNA) uses 1053378059.
Does the file indicate ALTO LEE III JOHNSON (CRNA) is practicing under active NPI?
Directory data currently reports ALTO LEE III JOHNSON (CRNA) as active.
What is ALTO LEE III JOHNSON (CRNA) best known for clinically?
Directory data describes ALTO LEE III JOHNSON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ALTO LEE III JOHNSON (CRNA) based?
ALTO LEE III JOHNSON (CRNA) is tied to Dothan, Alabama in the data we show; additional addresses may exist on the full record.
Why does ALTO LEE III JOHNSON (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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