Individual provider Active NPI

Neville A Alexander, DPM

  • Foot Surgery Podiatrist
  • Alpharetta, GA
National Provider Identifier
1194860288
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD001042 Issued in GA
Practice address
535 Aston Hall Way
Alpharetta, GA 30022-6634
Phone
(678) 520-7920
NPI assigned
Feb 20, 2007
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X POD001042 GA Primary

Addresses

Primary practice location

535 Aston Hall Way
Alpharetta, GA 30022-6634

Mailing address

535 Aston Hall Way
Alpharetta, GA 30022-6634
Phone (678) 520-7920

Other identifiers 1

IdentifierTypeStateIssuer
POD001042OtherGALICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091006000665 GA Practitioner - Podiatry 5193861185 Reassigns benefits to 2 organizations
Practice locations: Alpharetta, GA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mystic Medical LLCGroup PAC ID 6305165655, 8 clinicians

Practice addresses (Care Compare)

Alpharetta, GA 30022
Phone (678) 520-7920

5555 Glenridge Connector
Suite 200
Atlanta, GA 30342-4815
Phone (404) 459-2516

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1372
Removal or shaving of skin growth57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001042GAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Medical, LLC CurrentSince Jan 1, 2025 Accepting new patients
Neville a Alexander DPM PC CurrentSince Jul 1, 2020 Accepting new patients
Vitale Medical Inc Past Accepting new patients

Locations

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1194860288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ASTON HALL WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226634",
            "telephone_number": "678-520-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ASTON HALL WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226634",
            "telephone_number": "678-520-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "NEVILLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD001042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "POD001042",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.