Organization Active NPI

Alexander Pediatrics LLC

  • Pediatrics Physician
  • Montgomery, AL
National Provider Identifier
1548610314
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALEXANDER PEDIATRICS LLC
Practice address
330 St. Lukes Drive
Montgomery, AL 36117
Phone
(334) 270-8864
Fax
(334) 270-1176
NPI assigned
Jun 13, 2016
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Jenny Alexander, MDNPI 1588826549
Title
MD
Phone
(334) 270-8864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AL Primary

Addresses

Primary practice location

330 St. Lukes Drive
Montgomery, AL 36117

Mailing address

330 St. Lukes Drive
Montgomery, AL 36117
Phone (334) 270-8864

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0890184Alexander Pediatrics LLC330 St Lukes Drive, Montgomery, AL 36117Provider-performed microscopyAug 14, 2026

National Provider Directory

National Provider Directory

Locations

330 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 270-8864

356 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 270-8864

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1548610314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "334-270-8864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.