Individual provider Active NPI

Alexis Rouvelas Moses, PA-C

  • Physician Assistant
  • Alcoa, TN
National Provider Identifier
1720445919
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000002903 Issued in TN
Practice address
220 Associates Blvd
Alcoa, TN 37701-1943
Phone
(865) 238-6400
Fax
(865) 238-6404
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 PA0000002903 TN Primary

Addresses

Primary practice location

220 Associates Blvd
Alcoa, TN 37701-1943

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
Q019239MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160204000505 TN Practitioner - Physician Assistant 4587968045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

220 Associates Blvd
Alcoa, TN 37701-1943
Phone (865) 238-6400

230 Associates Blvd
Alcoa, TN 37701-1943
Phone (865) 273-1555

232 Associates Blvd
Alcoa, TN 37701-1943
Phone (865) 238-6450

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0000002903TNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: alexis.rouvelas.p1@direct.bmpg.nextgenshare.com
  • Direct secure messaging: amoses864494@direct.ghs.myhfn.org

Organizations & group practices 1

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 1

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1720445919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ASSOCIATES BLVD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011943",
            "telephone_number": "865-238-6400",
            "fax_number": "865-238-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "ALEXIS",
        "middle_name": "ROUVELAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000002903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019239",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.