Active NPI
Alexandra Mullins, PA-C, ATC
- Physician Assistant
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | 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
- 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.
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
-
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
- Community/Retail Pharmacy
- Pinehurst, NC
- NPI 1760784359
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
Hospital
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.