Individual provider Active NPI

Alexandra Christine Parker, PA-C

  • Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1568003929
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13240 Issued in NC
Practice address
314 S South St
Mount Airy, NC 27030-4491
Phone
(336) 719-0011
Fax
(336) 719-0714
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13240 NC Primary
Physician Assistant 363A00000X 9447 GA

Addresses

Primary practice location

314 S South St
Mount Airy, NC 27030-4491

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 783-8911

Other practice location 1

3240 Northeast Expy NE
Atlanta, GA 30341-4003
Phone (404) 480-9330

Other identifiers 2

IdentifierTypeStateIssuer
9447OtherGAGEORGIA STATE LICENSE NUMBER
0010-13240OtherNCNORTH CAROLINA STATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexp@barbourortho.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927003999 NC Practitioner - Physician Assistant 1456722784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

314 S S St
Mount Airy, NC 27030-4491
Phone (336) 719-0011

423 S S St
Mount Airy, NC 27030-4576
Phone (336) 786-5144

830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 783-8374

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9447GAMDPhysician Assistant
0010-13240NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Oct 15, 2023 Accepting new patients
Northern Hospital of Surry County CurrentSince Oct 15, 2023 Accepting new patients

Locations

314 S South St
Mount Airy, NC 27030
Phone (336) 719-0011

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1568003929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-783-8911",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304491",
            "telephone_number": "336-719-0011",
            "fax_number": "336-719-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Northeast Expy NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303414003",
            "country_code": "US",
            "telephone_number": "404-480-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALEXANDRA",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13240",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE NUMBER",
            "identifier": "9447",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE LICENSE NUMBER",
            "identifier": "0010-13240",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexp@barbourortho.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3240 Northeast Expy NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303414003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.