Kelsey Nicholson Alexander, M.D.
Individual provider Active NPI Pediatrics Physician · Savannah, GA
NPI 1346561537 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1346561537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 074388 (GA)
- Practice address
- 7001 Hodgson Memorial Dr
Savannah, GA 31406-2549 - Phone
- (912) 513-5787
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150211000474 | SC | Practitioner - Pediatric Medicine | 6002058914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074388 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Kelsey Alexander MD, LLC | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Pediatric Emergency Specialists, PC | Past | Accepting new patients | |
| Coastal Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Locations
7001 Hodgson Memorial Dr
Ste 1
Savannah, GA 31406
Phone (912) 303-3560
4 Skidaway Village Walk
Ste B
Savannah, GA 31411
Phone (912) 598-6312
2 Wheeler St
Savannah, GA 31405
Phone (912) 353-7744
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
890 S Pleasantburg Dr
Greenville, SC 29607
Phone (864) 271-1450
Interoperability endpoints
- https://api.platform.athenahealth.com/26549/brand/1/csg/1/fhir/r4
- kelsey.alexander.1@26549.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37323 | SC | |
| Pediatrics Physician | 208000000X | 074388 | GA | Yes |
Addresses
Primary practice location
7001 Hodgson Memorial Dr
Savannah, GA 31406-2549
Mailing address
7001 Hodgson Memorial Dr
Savannah, GA 31406-2549
Phone (912) 513-5787
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003195500A | Medicaid | GA |
Other providers in Savannah, GA
- Jhanel Albert
- Martine Eliette Alcius
- Cristina Marie Aldrich
- Alex Carey LLC
- Judith Ann Alexander
- Margaret Alyssa Hughes Alexander
- Stormi Hope Alexander
- Thomas Cary Alexander Jr.
- Alexandra Whiddon Inc
- Andre Alexandre
All providers in Savannah, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.