Zacheriah Minton Alexander, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rome, GA
NPI 1023803095 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1023803095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 501 Redmond Rd NW
Rome, GA 30165-1415 - Phone
- (706) 802-3025
- NPI assigned
- Apr 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250529001978 | GA | Order and Referring Only - Internal Medicine |
0244759579 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
501 Redmond Rd NW
Rome, GA 30165-1415
Mailing address
49 Brasstown Rd
Murphy, NC 28906-2150
Phone (828) 541-3634
Other names
- Zachery Minton Cook
Other providers in Rome, GA
- Mohammad Faisal Al-Abbadi
- Whitney Tolbert Albright
- Micaela Alcala
- Carril Safia Alexander
- William Scott Alexander II
- Alicia Mize Rix, DMD PC
- Rashonda Allen-Jackson
- Bryan Christopher Allen
- Celena Allen
- Julie Oglesby Allen
All providers in Rome, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.