Active NPI
Alex Wade Ayers, PA-C
- Physician Assistant
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11865
- Practice address
- 2600 Saint Michael Dr
Texarkana, TX 75503-5220 - Phone
- (903) 614-1000
- NPI assigned
- Jan 30, 2018
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11865 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | PA11865 | TX |
Addresses
Primary practice location
2600 Saint Michael Dr
Texarkana, TX 75503-5220
Mailing address
449 W Highway 70 B
De Queen, AR 71832-2928
Phone (870) 784-2367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832
900 E End Blvd N
Suite E
Marshall, TX 75670-2131
Phone (903) 472-5191
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 71.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Bcep PA | Past | Accepting new patients | |
| DCS Medical PA | Past | Accepting new patients |
Locations
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
2901 W 7th Ave
Corsicana, TX 75110
Phone (903) 616-0111
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1629291844
-
- Rural Health Clinic/Center
- Greenville, TX
- NPI 1912641432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1073011599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 W HIGHWAY 70 B",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322928",
"telephone_number": "870-784-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SAINT MICHAEL DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035220",
"telephone_number": "903-614-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "ALEX",
"middle_name": "WADE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11865",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "PA11865",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.