Individual provider Active NPI

Alyssa Buckenheimer, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dobson, NC
National Provider Identifier
1265896989
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2019-00366 Issued in NC
Practice address
105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone
(888) 789-2922
Fax
(336) 789-0856
NPI assigned
Apr 8, 2016
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019-00366 NC
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2019-00366 NC Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 63456 AZ

Addresses

Primary practice location

105 N Crutchfield St Unit 2
Dobson, NC 27017-8804

Mailing address

105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone (888) 789-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190614000043 NC Practitioner - Internal Medicine 3870886773 Reassigns benefits to 1 organization
I20250205001585 VA Practitioner - Internal Medicine 3870886773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Surry County IncGroup PAC ID 2961448741, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

105 N Crutchfield St
FL 2
Dobson, NC 27017-8804
Phone (888) 789-2922

7599 Carrollton Pike
C
Galax, VA 24333-4269
Phone (276) 728-1030

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Surry County, Inc CurrentSince Jan 13, 2025 Accepting new patients
Hospice of Surry County, Inc CurrentSince Jan 13, 2025 Accepting new patients
Hospice of Surry County, Inc Past Accepting new patients

Locations

105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922

945 Zephyr Rd
Dobson, NC 27017
Phone (336) 356-5000

968 N Bridge St
Elkin, NC 28621

220 Market View Dr
Ste C
Kernersville, NC 27284

141 Spruce Pine Way
King, NC 27021
Phone (336) 789-2922

1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922

705 W Pine St
Mount Airy, NC 27030

129 Veterans Dr
Pilot Mountain, NC 27041
Phone (336) 368-1260

3069 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 789-2922

243 N Lee Ave
Yadkinville, NC 27055
Phone (336) 677-1692

516 Hawthorne Dr
Yadkinville, NC 27055

7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030

240 Commonwealth Blvd W
Unit 602B
Martinsville, VA 24112

730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1265896989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST UNIT 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "888-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST UNIT 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "888-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKENHEIMER",
        "first_name": "ALYSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-00366",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2019-00366",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "63456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.