Individual provider Active NPI

Alexandra Whitney Carlton, PA

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1366076481
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09607 Issued in NC
Practice address
120 Applecross Rd
Pinehurst, NC 28374-8520
Phone
(910) 692-8224
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 0010-09607 NC Primary

Addresses

Primary practice location

120 Applecross Rd
Pinehurst, NC 28374-8520

Mailing address

120 Applecross Rd
Pinehurst, NC 28374-8520
Phone (910) 692-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200330001883 NC Practitioner - Family Practice 3173952959 Reassigns benefits to 1 organization
I20211110001522 NC Practitioner - Physician Assistant 3173952959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
81.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simpleclinic PLLC Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Simpleclinic PLLC Past Accepting new patients

Locations

1515 Sunset Ave
Clinton, NC 28328
Phone (910) 491-9418

1074 Southern Ave
Fayetteville, NC 28306
Phone (910) 221-1590

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1366076481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748520",
            "telephone_number": "910-692-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748520",
            "telephone_number": "910-692-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "ALEXANDRA",
        "middle_name": "WHITNEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.