Individual provider Active NPI

Anthony Wayne Alexander, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Florence, SC
National Provider Identifier
1396745485
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
22003 Issued in SC
Practice address
Medical Suite
600 Senior Way
Florence, SC 29505-6080
Phone
(843) 799-1067
Fax
(843) 799-0309
NPI assigned
Jul 29, 2005
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 22003 SC
Physical Medicine & Rehabilitation Physician 208100000X 200201427 NC
Physical Medicine & Rehabilitation Physician 208100000X 22003 SC Primary

Addresses

Primary practice location

Medical Suite
600 Senior Way
Florence, SC 29505-6080

Mailing address

Medical Suite
600 Senior Way
Florence, SC 29505-6080
Phone (843) 799-1067

Other identifiers 2

IdentifierTypeStateIssuer
T59068MedicaidSC
89063NOOtherN.C. MEDICAID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000449 SC Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 6901922178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Meharry Medical College School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200201427NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony W Alexander MD LLC CurrentSince Mar 18, 2019 Accepting new patients
Synergy Spine Center, PA CurrentSince Feb 23, 2020 Accepting new patients
Synergy Physician Group, PA CurrentSince Oct 10, 2018 Accepting new patients
Strand Regional Specialty Past Accepting new patients
Strand Regional Specialty Past Accepting new patients
Greenville Proaxis Therapy, LLC Past Accepting new patients

Locations

600 Senior Way
Florence, SC 29505
Phone (843) 799-1067

619 S Dargan St
Florence, SC 29506
Phone (843) 432-2502

457 Highway 123
#D
Seneca, SC 29678
Phone (864) 882-8850

457E By Pass 123
Seneca, SC 29678
Phone (855) 770-8100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1396745485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL SUITE",
            "address_2": "600 SENIOR WAY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056080",
            "telephone_number": "843-799-1067",
            "fax_number": "843-799-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL SUITE",
            "address_2": "600 SENIOR WAY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056080",
            "telephone_number": "843-799-1067",
            "fax_number": "843-799-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "22003",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200201427",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "22003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T59068",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C. MEDICAID",
            "identifier": "89063NO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.