Victor M Alvarez, MD
Individual provider Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Decatur, GA
NPI 1891702114 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1891702114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- License
- 053971 (GA)
- Practice address
- 2124 Candler Rd
Decatur, GA 30032 - Phone
- (404) 836-0272
- Fax
- (404) 666-0038
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5410 Maryland Way
Brentwood, TN 37027-8087
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in GA, LA, TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616003072 | GA | Practitioner - Hospice/Palliative Care | 4385600824 | Reassigns benefits to 1 organization |
| I20251212003518 | LA | Practitioner - Hospice/Palliative Care | 4385600824 | Reassigns benefits to 1 organization |
| I20260109002863 | TN | Practitioner - Hospice/Palliative Care | 4385600824 | Reassigns benefits to 1 organization |
| I20260120002740 | MS | Practitioner - Hospice/Palliative Care | 4385600824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Current |
Accepting new patients | |
| Monogram Health Professional Services PC | Current |
Accepting new patients | |
| Monogram Health Professional Services PC | Current |
Accepting new patients | |
| PMR Georgia Holding, LLC | Current |
Accepting new patients | |
| Monogram Health Professional Services PC | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Senior Health Connection | Geriatric Medicine | Past | Accepting new patients |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Cabarrus Urgent Care | Past | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180
2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272
2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184
1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
5410 Maryland Way
Ste 400
Brentwood, TN 37027
1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116
Interoperability endpoints
- victor.alvarez.1@22854.direct.athenahealth.com
- ms_valvar4@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 053971 | GA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 053971 | GA | Yes |
Addresses
Primary practice location
2124 Candler Rd
Decatur, GA 30032
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
4040 Hospital West Dr
Austell, GA 30106-8117
Phone (470) 732-6739
Other practice location 2
4040 Hospital West Dr
Austell, GA 30106-8117
Phone (470) 732-6739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89137TN | Medicaid | NC |
Other providers in Decatur, GA
- Alpine Transportation
- Alternative Research & Development Services, Inc
- Dana Altman
- Altrus LLC
- Jose Antonio Alvarez
- Amanda Losito LLC
- Amazing Pediatrics
- Nayana Yashwant Ambardekar
- Ambassador of Angels Inc.
- Amber Glow Home Care LLC
All providers in Decatur, GA · Hospice and Palliative Medicine (Family Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.