Active NPI
Lester Trulie Alexander, M.D.
- Family Medicine Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C5865
- Practice address
- 4747 Dusty Lake Dr Ste G1
Pine Bluff, AR 71603-9056 - Phone
- (870) 536-6600
- Fax
- (870) 534-1519
- NPI assigned
- Jun 22, 2006
- Last updated
- Oct 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5865 | AR | Primary |
Addresses
Primary practice location
4747 Dusty Lake Dr Ste G1
Pine Bluff, AR 71603-9056
Mailing address
4747 Dusty Lake Dr Ste G1
Pine Bluff, AR 71603-9056
Phone (870) 536-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50074 | Other | AR | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lesteralexander@jrmc.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5865 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Hospital Association, Inc | Family Medicine | Current | Accepting new patients |
| Jefferson Hospital Association, Inc | Current | Accepting new patients |
Locations
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
209 N Blake St
Pine Bluff, AR 71601
Phone (870) 536-6600
4747 Dusty Lake Dr
Ste 101
Pine Bluff, AR 71603
Phone (870) 536-6600
4747 Dusty Lake Dr
Ste G1
Pine Bluff, AR 71603
Phone (870) 534-1188
Interoperability endpoints
- lesteralexander@jrmc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Regional Healthworks
- Clinic/Center
- Pine Bluff, AR
- NPI 1841235868
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1306882501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 DUSTY LAKE DR STE G1",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716039056",
"telephone_number": "870-536-6600",
"fax_number": "870-534-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 DUSTY LAKE DR STE G1",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716039056",
"telephone_number": "870-536-6600",
"fax_number": "870-534-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "LESTER",
"middle_name": "TRULIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C5865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50074",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lesteralexander@jrmc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "4747 Dusty Lake Dr Ste G1",
"city": "Pine Bluff",
"state": "AR",
"country_code": "US",
"postal_code": "716039056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.