Individual provider Active NPI

Alexandria Morgan Petrosky, N-P

  • Primary Care Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1336974013
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN294757 Issued in GA
Practice address
1000 Clyburn PL
Aiken, SC 29801-4193
Phone
(803) 380-7000
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN294757 GA Primary

Addresses

Primary practice location

1000 Clyburn PL
Aiken, SC 29801-4193

Mailing address

3405 Kamel Cir
Augusta, GA 30909-2713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223003327 SC Practitioner - Nurse Practitioner 2163959511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4101 Charlotte Ave
F185
Nashville, TN 37209-4066

4101 Charlotte Ave
Suite F185
Nashville, TN 37209-3990

Hospital & facility affiliations

  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN294757GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services, Inc. CurrentSince Feb 15, 2025 Accepting new patients
Rural Health Services, Inc Current Accepting new patients
Rural Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Rural Health Services, Inc. CurrentSince Feb 15, 2025 Accepting new patients
Rural Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

995 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1021 York St NE
Aiken, SC 29801
Phone (803) 360-7000

120 Darlington Dr
Aiken, SC 29803
Phone (803) 380-7000

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

4645 Augusta Rd
Clearwater, SC 29842
Phone (803) 380-7000

Interoperability endpoints

  • Direct secure messaging: alexandria.petrosky.1@13265.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1336974013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KAMEL CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "ALEXANDRIA",
        "middle_name": "MORGAN",
        "credential": "N-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN294757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.