Individual provider Active NPI

Charles Alvin Alday Jr., PA

  • Physician Assistant
  • Thomasville, GA
National Provider Identifier
1871270355
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
113 W Hansell St
Thomasville, GA 31792-6664
Phone
(229) 226-3060
Fax
(855) 460-8658
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA Primary

Addresses

Primary practice location

113 W Hansell St
Thomasville, GA 31792-6664

Mailing address

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other practice location 1

1155 5th St SE
Cairo, GA 39828-3142
Phone (229) 226-3060

Other practice location 2

603 Wheat Ave Ste 800
Bainbridge, GA 39819-4367
Phone (229) 246-3608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230720001209 GA Practitioner - Physician Assistant 4880054915 Reassigns benefits to 1 organization
I20230924000048 FL Practitioner - Physician Assistant 4880054915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

113 W Hansell St
Thomasville, GA 31792-6664
Phone (229) 226-3060

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 226-3060

2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174

3334 Capital Medical Blvd
Tallahassee, FL 32308-4470
Phone (850) 877-8174

603 Wheat Ave
Suite 800
Bainbridge, GA 39819-4367
Phone (229) 246-3608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.5 of 100Reported as group
Quality
47.27
Promoting interoperability
99
Improvement activities
40
Cost
75.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
11666GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Jul 10, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308

603 Wheat Ave
Ste 800
Bainbridge, GA 39819
Phone (229) 246-3608

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

113 W Hansell St
Thomasville, GA 31792
Phone (229) 226-3060

Interoperability endpoints

  • Direct secure messaging: charles.alday.1@18802.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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1871270355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174",
            "fax_number": "844-261-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926664",
            "telephone_number": "229-226-3060",
            "fax_number": "855-460-8658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 5th St SE",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "GA",
            "postal_code": "398283142",
            "country_code": "US",
            "telephone_number": "229-226-3060",
            "fax_number": "855-460-8658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Wheat Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398194367",
            "country_code": "US",
            "telephone_number": "229-246-3608",
            "fax_number": "844-261-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDAY",
        "first_name": "CHARLES",
        "middle_name": "ALVIN",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.