Individual provider Active NPI

Alexandra Mullins, PA-C, ATC

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1689224867
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15 Regional Dr
Pinehurst, NC 28374-8850
Phone
(910) 295-5511
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

15 Regional Dr
Pinehurst, NC 28374-8850

Mailing address

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203001116 NC Practitioner - Physician Assistant 9537592795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinehurst Medical Clinic Inc 162 clinicians

Practice addresses (Care Compare)

1409 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201

1411 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1878

1413 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 295-5511

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Oct 7, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Pinehurst Medical Clinic Inc Past Accepting new patients

Locations

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

Interoperability endpoints

  • Direct secure messaging: alexandramullins@phmc.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1689224867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748749",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REGIONAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "910-295-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ALEXANDRA",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.