Active NPI
Alexander Valerikovich Golovlev, M.D.
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 83405
- Practice address
- 165 Cannon St
#503
Charleston, SC 29425-7901 - Phone
- (843) 792-9457
- NPI assigned
- Jun 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MMD.38416.LL | SC | |
| Anesthesiology Physician | 207L00000X | 83405 | GA | Primary |
Addresses
Primary practice location
165 Cannon St
#503
Charleston, SC 29425-7901
Mailing address
2072 Chilhowee Dr
Johns Island, SC 29455-8197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Tennessee, HSC, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9314 Parkwest Blvd
Suite 400
Knoxville, TN 37923-4344
Phone (865) 524-1869
Hospital & facility affiliations
- Blount Memorial Hospital
- Parkwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83405 | GA | MD | Anesthesiology Physician |
| MMD.38416.LL | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group of Knoxville PLLC | Anesthesiology | Current | Accepting new patients |
| Neurosurgical Associates, PC | Current | Accepting new patients | |
| Knoxville Spine Surgery LLC | Current | Accepting new patients | |
| Musc | Past | Accepting new patients |
Locations
1128 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone (865) 251-5215
9314 Park West Blvd
Ste 400
Knoxville, TN 37923
Phone (865) 540-1650
1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663
9314 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 694-0577
Interoperability endpoints
- alexandergolovlev@neurosurge.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Knoxville, TN
- NPI 1639126188
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1891530945
-
- Ambulatory Surgical Clinic/Center
- Knoxville, TN
- NPI 1093570426
-
- Specialist
- Charleston, SC
- NPI 1427494939
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1902287337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 CHILHOWEE DR",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CANNON ST",
"address_2": "#503",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294257901",
"telephone_number": "843-792-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLOVLEV",
"first_name": "ALEXANDER",
"middle_name": "VALERIKOVICH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "MMD.38416.LL",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "83405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.