Active NPI
Alix Charles Jr., MD
- General Practice Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4501510028
- Practice address
- 4201 Saint Antoine St # 9C
Detroit, MI 48201-2153 - Phone
- (313) 745-5147
- NPI assigned
- May 7, 2020
- Last updated
- Jul 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4501510028 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Well Urgent Care Shelby PLC | Multi-Specialty | Current | Accepting new patients |
| Get Well Urgent Care Macomb PLC | Multi-Specialty | Current | Accepting new patients |
| Get Well Urgent Care Madison Heights PLC | Multi-Specialty | Current | Accepting new patients |
| Get Well Urgent Care Harper Woods PLC | Multi-Specialty | Current | Accepting new patients |
| Get Well Urgent Care Taylor PLC | Multi-Specialty | Current | Accepting new patients |
| Get Well Urgent Care Pontiac PLC | Multi-Specialty | Current | Accepting new patients |
| Oak Park Urgent Care PLLC | Multi-Specialty | Current | Accepting new patients |
| Southfield City Urgent Care PC | Multi-Specialty | Current | Accepting new patients |
| Roseville Urgent Care, PC | Multi-Specialty | Current | Accepting new patients |
| Hoover Urgent Care of Warren PLLC | Multi-Specialty | Current | Accepting new patients |
| Garg and Associates Inc | Multi-Specialty | Past | Accepting new patients |
| Harper Woods Urgent Care and Medical Center PLLC | Multi-Specialty | Past | 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
- alix.charles.1@13014.direct.athenahealth.com
- alix.charles.1@19711.direct.athenahealth.com
- 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.
-
- Urgent Care Clinic/Center
- Madison Heights, MI
- NPI 1295240307
Multi-Specialty
-
- Urgent Care Clinic/Center
- Shelby Township, MI
- NPI 1033865464
Multi-Specialty
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
Multi-Specialty
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1811278716
Multi-Specialty
-
- Urgent Care Clinic/Center
- Harper Woods, MI
- NPI 1609585025
Multi-Specialty
-
- Urgent Care Clinic/Center
- Clinton TWP, MI
- NPI 1073289013
Multi-Specialty
-
- Urgent Care Clinic/Center
- Pontiac, MI
- NPI 1740999077
Multi-Specialty
-
dba harbor pines walk in clinic
- General Practice Physician
- Keego Harbor, MI
- NPI 1174617948
Multi-Specialty
-
- Urgent Care Clinic/Center
- Harper Woods, MI
- NPI 1528586674
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.