Individual provider Active NPI

Alexander Louis Williams

  • Physician Assistant
  • Huntsville, AL
National Provider Identifier
1245977487
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1977 Issued in AL
Practice address
333 Whitesport Dr SW Ste 104
Huntsville, AL 35801-3455
Phone
(256) 880-0376
NPI assigned
May 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 1977 AL Primary

Addresses

Primary practice location

333 Whitesport Dr SW Ste 104
Huntsville, AL 35801-3455

Mailing address

2104 Stapp Dr NE
Huntsville, AL 35811-2430
Phone (256) 468-3351

Other practice location 1

120 W Dublin Dr
Madison, AL 35758-3155
Phone (256) 772-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20220921001111 AL Practitioner - Physician Assistant 8729463187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama ENT AssociatesGroup PAC ID 5597744748, 26 clinicians

Practice addresses (Care Compare)

1963 Memorial Pkwy SW
Suite 5 and 9
Huntsville, AL 35801-5003
Phone (256) 536-9300

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
81.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1977ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama ENT Associates CurrentSince Sep 1, 2022 Accepting new patients
Alabama Children'S Clinic PastSince May 22, 2022 Accepting new patients

Locations

1963 Memorial Pkwy SW
Ste 5
Huntsville, AL 35801
Phone (256) 265-2464

927 Franklin St SE
Ste 100
Huntsville, AL 35801
Phone (256) 535-9038

Organizations & group practices 2

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 1

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1245977487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 STAPP DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358112430",
            "telephone_number": "256-468-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 104",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "256-880-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Dublin Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583155",
            "country_code": "US",
            "telephone_number": "256-772-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALEXANDER",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.