Active NPI
William Alexander
- Internal Medicine Physician
- Brookhaven, GA
National Provider Identifier
1578079513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23886
- Practice address
- 4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457 - Phone
- (678) 587-4869
- NPI assigned
- Dec 27, 2017
- Last updated
- Dec 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23886 | GA | Primary |
Addresses
Primary practice location
4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457
Mailing address
4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457
Phone (678) 587-4869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23886 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1578079513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4170 ASHFORD DUNWOODY RD NE STE 100",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191457",
"telephone_number": "678-587-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 ASHFORD DUNWOODY RD NE STE 100",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191457",
"telephone_number": "678-587-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "23886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.