Alexandra Paige Botts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1000 Brookfield Rd Ste 100
Memphis, TN 38119-0853

Phone

(901) 779-6538

Fax

(901) 685-2717

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Wallace Plastic Surgery Group, PLLC

  • Plastic Surgery Physician
  • Memphis, TN
  • NPI 1497473557
  Medicare reassignment

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1235863572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROOKFIELD RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190853",
            "telephone_number": "901-779-6538",
            "fax_number": "901-685-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKFIELD RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190853",
            "telephone_number": "901-779-6538",
            "fax_number": "901-685-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2256 Kimbrough Woods Pl",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381395112",
            "country_code": "US",
            "telephone_number": "901-412-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "ALEXANDRA",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Cancer Group, PLC
• Benjamin Lee Boston, D.C.
• Richard L Boswell, M.D.
• Joseph K Botelho, L.M.S.W.
• Marina Botros, MD
• Ernest O Botts IV, PA-C
• Gregory W. Boucek, DDS
• Andrew Bradley Boucher, M.D.
• Brian Bougard
• Sherry Bougard, L.C.S.W

• Physician Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.