Alexander Internal Medicine, PA

Organization Active NPI Primary Care Clinic/Center · Thomasville, NC

NPI 1639359151 · NPPES record last updated Nov 13, 2007

Key facts

NPI
1639359151
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
31761 (NC)
Legal business name
ALEXANDER INTERNAL MEDICINE, PA
Practice address
1300 Lexington Ave
Thomasville, NC 27360-3419
Phone
(336) 475-9556
Fax
(336) 475-9672
NPI assigned
Nov 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Harry A Alexander, M.D. NPI 1316916653
Title
Owner
Phone
(336) 475-9556

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1024515Alexander Internal Medicine, PA
1300 Lexington Avenue, Thomasville, NC 27360
Certificate of waiverApr 13, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040714000727 NC Part B Supplier - Clinic/Group Practice 8426037508 Receives reassigned benefits from 1 practitioner
Practice locations: Thomasville, NC

National Provider Directory

Locations

1300 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-0200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 31761 NC Yes

Addresses

Primary practice location

1300 Lexington Ave
Thomasville, NC 27360-3419

Mailing address

1300 Lexington Ave
Thomasville, NC 27360-3419
Phone (336) 475-9556

Other identifiers

IdentifierTypeStateIssuer
8910633MedicaidNC

Other providers in Thomasville, NC

All providers in Thomasville, NC · Primary Care Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.