Individual provider Active NPI

Nino Aleksidze, M.D.

  • Hematology & Oncology Physician
  • Montgomery, AL
National Provider Identifier
1427438530
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
42597 Issued in AL
Practice address
4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 273-7000
NPI assigned
Jun 3, 2015
Reactivated
Apr 14, 2016
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 42597 AL Primary

Addresses

Primary practice location

4145 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210609001634 AL Practitioner - Hematology/Oncology 4284034463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Cancer Care, LLCGroup PAC ID 1456477645, 20 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-2987

300 Saint Lukes Dr
Montgomery, AL 36117-7102
Phone (334) 273-8877

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
65.41
Promoting interoperability
90
Improvement activities
40
Cost
78.61

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
78.97
Promoting interoperability
100
Improvement activities
40
Cost
85.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 15, 2025 Accepting new patients
Alabama Cancer Care, LLC Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients
Southeast Physician Network, P.C. Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients
The Health Care Authority for Baptist Health Hematology & Oncology CurrentSince Sep 15, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

300 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 271-4249

4145 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

509 Energy Center Blvd
Ste 804
Northport, AL 35473
Phone (205) 345-9088

1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777

1400 Afflink Pl
Ste 101
Tuscaloosa, AL 35406
Phone (205) 366-9740

Organizations & group practices 8

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.

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1427438530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSIDZE",
        "first_name": "NINO",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "deactivation_date": "2016-01-20",
        "reactivation_date": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "42597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.