Individual provider Active NPI

Gary Alexander, N.P.

  • Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1811967797
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN059514 Issued in GA
Practice address
231 Graefe St
Griffin, GA 30224-4222
Phone
(770) 227-1587
Fax
(770) 227-1485
NPI assigned
Jan 24, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN059514 GA Primary

Addresses

Primary practice location

231 Graefe St
Griffin, GA 30224-4222

Mailing address

231 Graefe St
Griffin, GA 30224-4222
Phone (770) 227-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050801000716 GA Practitioner - Nurse Practitioner 7113955139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

1104 W Taylor St
Griffin, GA 30223-2610
Phone (770) 227-1587

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN059514GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Griffin CurrentSince Jan 6, 2006 Accepting new patients
Qcpi-Villagemd, PC CurrentSince May 3, 2021 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients

Locations

1104 W Taylor St
Griffin, GA 30223
Phone (770) 227-1587

619 S 8th St
Ste 200
Griffin, GA 30224
Phone (770) 227-1587

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Interoperability endpoints

  • Direct secure messaging: gary.alexander.1@21533.direct.athenahealth.com

Organizations & group practices 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1811967797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244222",
            "telephone_number": "770-227-1587",
            "fax_number": "770-227-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244222",
            "telephone_number": "770-227-1587",
            "fax_number": "770-227-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN059514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.