Active NPI
William R. Alexander IV, D.O.
- Hospitalist Physician
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 066989
- Practice address
- 901 18TH St E
Tifton, GA 31794-3648 - Phone
- (229) 353-6051
- NPI assigned
- May 6, 2009
- Last updated
- May 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 066989 | GA | |
| Hospitalist Physician | 208M00000X | 066989 | GA | Primary |
Addresses
Primary practice location
901 18TH St E
Tifton, GA 31794-3648
Mailing address
4700 Waters Ave
Suite 150
Savannah, GA 31404-6220
Phone (912) 350-1316
Other names 1
- Wesley Alexander
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.36 of 100
- Quality
- 46.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Internal Medicine | Current | Accepting new patients |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
Internal Medicine
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1639303589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"address_2": "SUITE 150",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-1316",
"fax_number": "912-350-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-353-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "WILLIAM",
"middle_name": "R.",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "066989",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "066989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WESLEY",
"last_name": "ALEXANDER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tifton, GA
- Dorothy Dee Agyepong, CPNP
- Air Evac EMS, Inc. (Air Evac Lifeteam)
- Angela Akwugo Akujuobi
- Ibrahim Al Marei, MD
- Omar Al-Rusan, MD
- Allen M. Vickers, DMD
- Allen Pharmacy Group, LLC (Tifton Drug Company)
- Allen Pharmacy Group, LLC (Tifton Drug Company)
- Allergy & Dermatology Associates of Tifton PC (Allergy, Asthma, & Sinsus Clinic)
- Allhealth Choice, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.