Individual provider Active NPI

Donald L McAlexander, MD

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1477524965
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026329 Issued in GA
Practice address
820 Saint Sebastian Way
Ste. 4C
Augusta, GA 30901-2643
Phone
(706) 774-5995
Fax
(706) 774-5996
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160811001968 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8325148794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29773NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29773 NC
Internal Medicine Physician 207R00000X 026329 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

820 Saint Sebastian Way
Ste. 4C
Augusta, GA 30901-2643

Mailing address

820 Saint Sebastian Way
Ste. 4C
Augusta, GA 30901-2643
Phone (706) 774-5995

Other identifiers 10

NPPES NPI Registry
IdentifierTypeStateIssuer
566000156OtherNCGROUP TAX ID
A2831OtherNCMEDCOST
0440057OtherNCUNITED HEALTHCARE
108993OtherNCWELLPATH
4298824OtherNCAETNA
55331OtherNCBCBS
110226262OtherNCRAILROAD MEDICARE
8955331MedicaidNC
9281OtherNCPARTNERS MEDICARE CHOICE
896332OtherNCMAMSI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2009.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1477524965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "STE. 4C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-774-5995",
            "fax_number": "706-774-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "STE. 4C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-774-5995",
            "fax_number": "706-774-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALEXANDER",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "29773",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "566000156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A2831",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0440057",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "108993",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4298824",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55331",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110226262",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955331",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "9281",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "896332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.