Active NPI
James G Alexander Jr DDS MD PLLC
- Family Medicine Physician
- West Memphis, AR
National Provider Identifier
1255454336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AR3562
- Legal business name
- JAMES G ALEXANDER JR DDS MD PLLC
- Practice address
- 228 W Tyler Ave
Ste 307
West Memphis, AR 72301-4223 - Phone
- (870) 735-1152
- Fax
- (870) 735-4098
- NPI assigned
- Apr 6, 2007
- Last updated
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James G Alexander Jr., M.D.
- Title
- PLLC Member
- Phone
- (870) 735-1152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AR3562 | AR | Primary |
Addresses
Primary practice location
228 W Tyler Ave
Ste 307
West Memphis, AR 72301-4223
Mailing address
228 W Tyler Ave Ste 307
P.O. Box 907
West Memphis, AR 72303-0907
Phone (870) 735-1152
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4112951 | Other | TN | TENNESSEE BCBS |
| 4185464 | Medicaid | TN | |
| 50999 | Other | AR | ABCBS |
| P00219773 | Other | RR MEDICARE INDIVIDUAL PTAN | |
| 112939001 | Medicaid | AR | |
| 59309 | Other | AR | AR M'CARE GROUP PTAN |
| 50999 | Other | AR | AR M'CARE GROUP MBR PTAN |
| DD2979 | Other | RR MEDICARE GROUP PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Southaven, MS
- NPI 1518908854
-
- Family Medicine Physician
- Memphis, TN
- NPI 1124074489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1255454336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 W TYLER AVE STE 307",
"address_2": "P.O. BOX 907",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723030907",
"telephone_number": "870-735-1152",
"fax_number": "870-735-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W TYLER AVE",
"address_2": "STE 307",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014223",
"telephone_number": "870-735-1152",
"fax_number": "870-735-4098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES G ALEXANDER JR DDS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PLLC MEMBER",
"authorized_official_telephone_number": "870-735-1152",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "AR3562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BCBS",
"identifier": "4112951",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4185464",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABCBS",
"identifier": "50999",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL PTAN",
"identifier": "P00219773",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112939001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR M'CARE GROUP PTAN",
"identifier": "59309",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR M'CARE GROUP MBR PTAN",
"identifier": "50999",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP PTAN",
"identifier": "DD2979",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.