Active NPI
Alexander Fleming, MS, ATC, CES, PES
- Athletic Trainer
- Fort Moore, GA
National Provider Identifier
1740714997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126003602
- Practice address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905-2102 - Phone
- (762) 408-2273
- NPI assigned
- Apr 14, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 939 | OK | |
| Athletic Trainer | 2255A2300X | 009087 | AZ | |
| Athletic Trainer | 2255A2300X | 0126003602 | VA | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Other practice location 1
8701 S Hardy Dr
Tempe, AZ 85284-2800
Phone (615) 692-8953
Other practice location 2
603 N Grand Ave
Tahlequah, OK 74464-2302
Phone (918) 444-3921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 939 | OK | MD | Optometrist |
| 009087 | AZ | MD | Athletic Trainer |
| 0126003602 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Single Specialty | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1740714997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-2273"
}
],
"practiceLocations": [
{
"address_1": "8701 S Hardy Dr",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852842800",
"country_code": "US",
"telephone_number": "615-692-8953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Tahlequah",
"state": "OK",
"postal_code": "744642302",
"country_code": "US",
"telephone_number": "918-444-3921",
"fax_number": "918-444-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "ALEXANDER",
"credential": "MS, ATC, CES, PES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "939",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "009087",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126003602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.