W Alexandra Da Souza MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042556 Issued in GA

Legal business name

W ALEXANDRA DA SOUZA MD PC

Practice address

124 Andrews Way
Suite a
Kingsland, GA 31548-6860

Phone

(912) 510-9100

Fax

(912) 510-9269

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. W Alexandra Da Souza, MD

Title

President

Phone

(912) 510-9100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilma Alexandra Da Souza, MD

  • Family Medicine Physician
  • Zephyrhills, FL
  • NPI 1497829105
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1326202193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ANDREWS WAY",
            "address_2": "SUITE A",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486860",
            "telephone_number": "912-510-9100",
            "fax_number": "912-510-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ANDREWS WAY",
            "address_2": "SUITE A",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486860",
            "telephone_number": "912-510-9100",
            "fax_number": "912-510-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W ALEXANDRA DA SOUZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "DA SOUZA",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-510-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "042556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Tuttle Sr.
• Chimdi Ukoha
• Kellie Valentine
• Valerie Woolford Individual & Couples Counseling, LLC
• Vital Health Associates of Georgia LLC
• Walgreen Co (Walgreens #10856)
• Courtney Bennett Walker
• Johndrell S. Walker, C.N.A/M.A.
• Dorilynn Hatchcock Wallach, LPN
• Bryan Charles Weatherspoon, M.D.

• Primary Care Clinic/Center in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.