Individual provider Active NPI

Alexander Manson Waite, DO

  • Family Medicine Physician
  • Dobson, NC
National Provider Identifier
1700043288
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-01963 Issued in NC
Practice address
105 N Crutchfield St # 2
Dobson, NC 27017-8804
Phone
(336) 789-2922
Fax
(336) 789-0856
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10189 FL
Family Medicine Physician 207Q00000X 0102207506 VA
Family Medicine Physician 207Q00000X 2008-01963 NC Primary

Addresses

Primary practice location

105 N Crutchfield St # 2
Dobson, NC 27017-8804

Mailing address

PO Box 325
Dobson, NC 27017-0325
Phone (336) 789-2922

Other practice location 1

7599 Carrollton Pike Ste C
Galax, VA 24333-6801
Phone (276) 728-1030

Other identifiers 3

IdentifierTypeStateIssuer
5913821MedicaidNC
P00835720OtherNCRAILROAD MEDICARE PTAN
154MROtherNCBCBS OF NC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awaite@mtnvalleyhospice.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090808000085 NC Practitioner - Family Practice 7719030766 Reassigns benefits to 2 organizations
I20221006001590 VA Practitioner - Family Practice 7719030766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10189FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. Family Medicine Current Accepting new patients
BRMG-PC Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Family Medicine CurrentSince Feb 26, 2017 Accepting new patients
Hospice of Surry County, Inc CurrentSince Aug 19, 2022 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Family Medicine CurrentSince Feb 26, 2017 Accepting new patients
Hospice of Surry County, Inc CurrentSince Aug 15, 2022 Accepting new patients
Hospice of Surry County, Inc Family Medicine Past Accepting new patients

Locations

307 E Thom St
China Grove, NC 28023
Phone (704) 855-7611

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922

640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997

1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922

905 Rockford St
Mount Airy, NC 27030
Phone (336) 719-2440

1427 Edgewood Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-2922

300 N Salisbury Ave
Spencer, NC 28159
Phone (704) 216-2630

108 S State St
Yadkinville, NC 27055
Phone (336) 679-2733

7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030

730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1700043288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170325",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST # 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 Carrollton Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243336801",
            "country_code": "US",
            "telephone_number": "276-728-1030",
            "fax_number": "276-728-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITE",
        "first_name": "ALEXANDER",
        "middle_name": "MANSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10189",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207506",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913821",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00835720",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "154MR",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awaite@mtnvalleyhospice.org",
            "affiliation": "N",
            "address_1": "105 N Crutchfield St # 2",
            "city": "Dobson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270178804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.