Jeff David Alexander

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42D2185432 Issued in SC

Practice address

2724 Wade Hampton Blvd Ste C
Greenville, SC 29615-1110

Phone

(864) 263-3302

Fax

(972) 323-7607

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blue Mountain Diagnostics LLC

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1346847522
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1568078509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 WADE HAMPTON BLVD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151110",
            "telephone_number": "864-263-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 WADE HAMPTON BLVD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151110",
            "telephone_number": "864-263-3302",
            "fax_number": "972-323-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JEFF",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D2185432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kassalias, DC, LLC
• Zoie Amber Alexander Walker, LPC
• Brian P. Alexander
• Elizabeth Foster Alexander, DPT
• James M Alexander, MD
• Judith Delores Alexander, M.S.W.
• Katherine Elizabeth Alexander, MSN PNP
• Louise Anne Alexander, M.D.
• Nathan Scott Alexander, M.D.
• Omar Boston Alexander, M.D.

• Clinical Medical Laboratory in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.