Active NPI
Myrna Alexander, M.D.
- Cardiovascular Disease Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 14525
- Practice address
- 2500 North State Street
Jackson, MS 39216-4608 - Phone
- (601) 984-5678
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 14525 | MS | Primary |
Addresses
Primary practice location
2500 North State Street
Jackson, MS 39216-4608
Mailing address
2500 North State Street
Jackson, MS 39216-4500
Phone (601) 984-5678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115251 | Medicaid | MS | |
| 138225 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000180 | MS | Practitioner - Cardiovascular Disease (Cardiology) | 7012015183 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne General Hospital | Current | Accepting new patients | |
| Wayne General Hospital | Current | Accepting new patients | |
| Yalobusha General Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Yalobusha General Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Yalobusha General Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Wayne General Hospsital | Current | Accepting new patients | |
| Jackson Cardiology Associates, P.a. | Cardiovascular Disease | Past | Accepting new patients |
| St. Dominic Jackson Memorial | Past | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
604 S Main St
Water Valley, MS 38965
Phone (662) 473-1311
940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7102
950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
MS
-
- Family Medicine Physician
- Lexington, MS
- NPI 1013020395
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Hospitalist Physician
- Waynesboro, MS
- NPI 1699589143
-
- Interventional Cardiology Physician
- Waynesboro, MS
- NPI 1902021546
-
- Durable Medical Equipment & Medical Supplies
- Water Valley, MS
- NPI 1174069033
-
- Rural Health Clinic/Center
- Water Valley, MS
- NPI 1356402002
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1851305429
Cardiovascular Disease
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1235173691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1285648063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5678",
"fax_number": "601-984-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164608",
"telephone_number": "601-984-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MYRNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "14525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115251",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138225",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.