Alexander David Allaire, MD
Individual provider Active NPI Maternal & Fetal Medicine Physician · Gainesville, GA
NPI 1669578282 · NPPES record last updated Feb 26, 2019
Key facts
- NPI
- 1669578282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- License
- 039032 (GA)
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 287-3815
- Fax
- (770) 287-9689
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Longstreet Clinic, PC
Northeast Georgia Community Physicians LLC
Practice addresses (Care Compare)
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061113000530 | GA | Practitioner - Obstetrics/Gynecology | 1557369295 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039032 | GA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic, PC | Maternal & Fetal Medicine | Current |
Accepting new patients |
| The Longstreet Clinic PC | Current |
Accepting new patients |
Locations
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
Interoperability endpoints
- alex.allaire@longstreetclinic.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 039032 | GA | Yes |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10065664 | Other | GA | AMERIGROUP |
| 52887512 005 | Other | GA | BCBS |
| 354199 | Other | GA | WELLCARE |
| 4951091 | Other | GA | CIGNA |
| 324435470H | Medicaid | GA | |
| 5318542 | Other | GA | AETNA |
| 7400133 | Other | GA | UHC |
Other providers in Gainesville, GA
- Lane Elizabeth Alexander
- Joan Elizabeth Alford
- Amna Ali
- Aribah Ali
- Sajiv Alias
- Marc Allard-Ratick
- Charles Edward Allen
- Katherine S. Allen
- Allergy & Asthma Care Center, LLC
- Allergy & Asthma Clinic of Northeast Georgia
All providers in Gainesville, GA · Maternal & Fetal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2019. 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.
- Order and Referring (CMS).
- 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.