Alexandre Kristian Eaccarino, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

067211 Issued in GA

Practice address

11975 Morris Rd Ste 200
Alpharetta, GA 30005-4444

Phone

(770) 410-4388

NPI assigned

Apr 20, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Women's Health Group PCGroup PAC ID 1951396639, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Atlanta Women's Health Group, P.C.

  • Specialist
  • Atlanta, GA
  • NPI 1174501902
  Medicare reassignment Care Compare group
• Georgia Obstetrics & Gynecology 2 LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1447380142
  NPD (past)
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  NPD (past)
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  NPD (past)
• Peachtree Women's Clinic 2 LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1174653877
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275776353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-433-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "770-410-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EACCARINO",
        "first_name": "ALEXANDRE",
        "middle_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "067211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I425668",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136311A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Dupree, AGPCNP-C
• Dustin E Albanese LLC
• Landa Marie Duszynski, MSW, LCSW
• Ashley Sade Duvall, LPN
• E D Goodnight LLC
• Michael Eames
• Barbara Earley, M.ED. CCC-SLP
• Stephen Calvert Earley, O.D.
• Kenzie Easley
• Adam Eason, PHARMD

• Obstetrics & Gynecology Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.