Individual provider Active NPI

Alix Charles Jr., MD

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1720600265
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4501510028 Issued in MI
Practice address
4201 Saint Antoine St # 9C
Detroit, MI 48201-2153
Phone
(313) 745-5147
NPI assigned
May 7, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 4501510028 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153
Phone (313) 745-5147

Other practice location 1

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240216002204 MI Practitioner - Internal Medicine 1153742515 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Shelby PLCGroup PAC ID 0749646412, 16 clinicians
Roseville Urgent Care PCGroup PAC ID 8921281361, 21 clinicians
Southfield City Urgent Care PCGroup PAC ID 5698948354, 22 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians

Practice addresses (Care Compare)

13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400

20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288

23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 569-2600

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4501510028MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Shelby PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Macomb PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Madison Heights PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Harper Woods PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Taylor PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Pontiac PLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Oak Park Urgent Care PLLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Southfield City Urgent Care PC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Roseville Urgent Care, PC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Garg and Associates Inc Multi-Specialty Past Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC Multi-Specialty PastSince Jul 7, 2019 Accepting new patients

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

19959 Vernier Rd
Ste 400
Harper Woods, MI 48225
Phone (313) 499-1951

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

20202 Eureka Rd
Taylor, MI 48180
Phone (734) 589-1300

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Interoperability endpoints

  • Direct secure messaging: alix.charles.1@13014.direct.athenahealth.com
  • Direct secure messaging: alix.charles.1@19711.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1720600265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23832 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480758000",
            "country_code": "US",
            "telephone_number": "248-569-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ALIX",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4501510028",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.