NPIMap

Individual provider Active NPI

Alexandra Pulaski Herndon

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1841052073
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01240808 Issued in GA
Practice address
101 Robeson St Ste 200
Fayetteville, NC 28301-5520
Phone
(910) 615-1860
Fax
(910) 615-9630
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01240808 GA Primary

Addresses

Primary practice location

101 Robeson St Ste 200
Fayetteville, NC 28301-5520

Mailing address

131 Brisbon Hall Dr
Richmond Hill, GA 31324-8833
Phone (912) 656-3628

Other practice location 1

7360 Skidaway Rd
Savannah, GA 31406-4265
Phone (912) 201-1140

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-1860

Other practice location 3

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241101003237 GA Practitioner - Nurse Practitioner 8325571086 Reassigns benefits to 2 organizations
I20250423003534 NC Practitioner - Nurse Practitioner 8325571086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Robeson St
Suite 200
Fayetteville, NC 28301-5520
Phone (910) 615-1860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01240808GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Feb 14, 2025 Accepting new patients
Urgent Care of Berwick LLC CurrentSince Jul 22, 2024 Accepting new patients
Skidaway Medical Group LLC CurrentSince Jul 22, 2024 Accepting new patients
Skidaway Medical Group LLC CurrentSince Jul 22, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 14, 2025 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

310 Eisenhower Dr
Ste 12A
Savannah, GA 31406
Phone (912) 201-1140

212 Johnny Mercer Blvd
#B
Savannah, GA 31410
Phone (912) 201-1140

5730 Ogeechee Rd
Ste 192
Savannah, GA 31405
Phone (912) 201-1140

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

101 Robeson St
Ste 200
Fayetteville, NC 28301
Phone (910) 323-2696

Interoperability endpoints

  • Direct secure messaging: aherndon133421@capefearvalley.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1841052073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BRISBON HALL DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248833",
            "telephone_number": "912-656-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015520",
            "telephone_number": "910-615-1860",
            "fax_number": "910-615-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7360 Skidaway Rd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064265",
            "country_code": "US",
            "telephone_number": "912-201-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-1860",
            "fax_number": "910-615-9630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015570",
            "country_code": "US",
            "telephone_number": "910-615-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "ALEXANDRA",
        "middle_name": "PULASKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01240808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.