Individual provider Active NPI

Alexander Peter Ferro, PA-C

  • Physician Assistant
  • Cleveland, TN
National Provider Identifier
1467046375
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4497 Issued in TN
Practice address
2033 N Ocoee St
Cleveland, TN 37311-3918
Phone
(423) 458-1020
Fax
(833) 638-0070
NPI assigned
Feb 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4497 TN Primary

Addresses

Primary practice location

2033 N Ocoee St
Cleveland, TN 37311-3918

Mailing address

2033 N Ocoee St
Cleveland, TN 37311-3918
Phone (423) 458-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210716000866 TN Practitioner - Physician Assistant 8325453327 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Clinics, LLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

2033 N Ocoee St
Cleveland, TN 37311
Phone (423) 458-1020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23391/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alex.ferro.1@23391.direct.athenahealth.com

Organizations & group practices 2

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1467046375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113918",
            "telephone_number": "423-458-1020",
            "fax_number": "833-638-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113918",
            "telephone_number": "423-458-1020",
            "fax_number": "833-638-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRO",
        "first_name": "ALEXANDER",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.