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.
- Title
- Owner
- Phone
- (336) 475-9556
Practitioners 1
-
Harry Anthony Alexander, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1024515 | Alexander Internal Medicine, PA | Certificate of waiver | Apr 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910633 | Medicaid | NC |
Other providers in Thomasville, NC
- Academy Eye Center Optometry, PA
- Charles Kofi Agbemabiese
- Harry Anthony Alexander
- NA-Twan Cortrice Allen
- Tiffany Allen
- Altopiano Medical PLLC
- Babajide Olufemi Aluko
All providers in Thomasville, NC · Primary Care Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.