Alex Holsonback

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

101 E Wood St
Spartanburg, SC 29303-3040

Phone

(864) 560-6000

NPI assigned

Nov 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aholsonback77609@direct-srhs.et0939.epichosted.com

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.

• Pelham Medical Center

  • Emergency Medicine Physician
  • Greer, SC
  • NPI 1619133568

  SC

  Medicare reassignment NPD
• Spartanburg Medical Center

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1699729939

  SC

  Medicare reassignment
• Pelham Medical Center

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844
  NPD
• Spartanburg Medical Center

  • Diagnostic Radiology Physician
  • Spartanburg, SC
  • NPI 1144080227
  NPD
• Spartanburg Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD
• Piedmont Pediatrics LLC

  • Pediatrics Physician
  • Clinton, SC
  • NPI 1083652630
  NPD (past)
• Piedmont Pediatrics LLC

  • Rural Health Clinic/Center
  • Woodruff, SC
  • NPI 1376373225
  NPD (past)
• Piedmont Pediatrics LLC

  • Rural Health Clinic/Center
  • Woodruff, SC
  • NPI 1871324814
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1790329324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BUMBLE CIR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSONBACK",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aholsonback77609@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aholsonback77609@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rowena Winn Holley, PT
• Cierra Keioash Hollis, LPC A
• Melissa Dawn Holloman, LISW-CP & AP
• Brandon Scott Holmes, D.C.
• Michael W Holmes, M.D.
• Amanda Lee Holsopple, M.D.
• Anyia Holston
• David Arnold Holt, MD
• Philip W Holton, N.P.
• Home Helpers

• Medical Physician Assistant in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.

Verify at the official NPI Registry.