Individual provider Active NPI

Alexcis Thomson Ford, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Roswell, GA
National Provider Identifier
1194081422
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
076588 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 710
Roswell, GA 30076-4916
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 076588 GA
Student in an Organized Health Care Education/Training Program 390200000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 076588 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 710
Roswell, GA 30076-4916

Mailing address

1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001434 GA Practitioner - Obstetrics/Gynecology 9234383167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gynecology PCGroup PAC ID 0143568634, 11 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

11660 Alpharetta Hwy
Suite 710
Roswell, GA 30076-4916
Phone (678) 344-8900

1357 Oconee Connector
Watkinsville, GA 30677-7311
Phone (678) 344-8900

1800 Peachtree St NW
Suite 700
Atlanta, GA 30309-2511
Phone (678) 344-8900

875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.85 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40
Cost
55.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
076588GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Aug 1, 2019 Accepting new patients

Locations

1800 Peachtree St NW
Ste 700
Atlanta, GA 30309
Phone (404) 350-7966

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Interoperability endpoints

  • Direct secure messaging: alexcis.ford.1@32908.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1194081422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785639",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 710",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764916",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ALEXCIS",
        "middle_name": "THOMSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "076588",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "076588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.