Individual provider Active NPI

Alexis Mallory Arnold, MSPAS, PA-C

  • Physician Assistant
  • Newton, MA
National Provider Identifier
1174243802
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2000 Washington St Ste 341
Newton, MA 02462-1625
Phone
(617) 964-0024
Fax
(617) 964-6374
NPI assigned
Sep 1, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2000 Washington St Ste 341
Newton, MA 02462-1625

Mailing address

2000 Washington St Ste 341
Newton, MA 02462-1625
Phone (617) 964-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230310002151 MA Practitioner - Physician Assistant 6800269978 Reassigns benefits to 1 organization
I20230807003693 NH Practitioner - Physician Assistant 6800269978
I20251122001489 SC Practitioner - Physician Assistant 6800269978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

180 Halton Rd
Greenville, SC 29607-3508
Phone (864) 220-4263

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2037NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Orthopedic Associates Inc CurrentSince Dec 7, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 16, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 16, 2025 Accepting new patients

Locations

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

2 Market Pl
Ste 100
Hollis, NH 03049
Phone (603) 600-6175

41 Innovative Way
Nashua, NH 03062
Phone (603) 484-7710

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • Direct secure messaging: aarnold3078597@direct.bsmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1174243802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 341",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621625",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 341",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621625",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ALEXIS",
        "middle_name": "MALLORY",
        "name_prefix": "Ms.",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.