Organization Active NPI

Alexander Ear, Nose and Throat

  • Specialist
  • Decatur, GA
National Provider Identifier
1063563013
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029570 Issued in GA
Legal business name
ALEXANDER EAR, NOSE AND THROAT
Practice address
2726 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone
(770) 414-1130
Fax
(770) 414-1135
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Joel Jeffery Alexander, D.O.NPI 1174583231
Title
Physician
Phone
(770) 414-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 029570 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2726 Lawrenceville Hwy
Decatur, GA 30033-2512

Mailing address

2726 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone (770) 414-1130

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000346442AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2015.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1063563013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332512",
            "telephone_number": "770-414-1130",
            "fax_number": "770-414-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332512",
            "telephone_number": "770-414-1130",
            "fax_number": "770-414-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER EAR, NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-414-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "029570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000346442A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.