Individual provider Active NPI

Alexander Valerikovich Golovlev, M.D.

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1902287337
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
83405 Issued in GA
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

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324003034 TN Practitioner - Pain Management 4880983808 Reassigns benefits to 2 organizations

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
Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

9314 Parkwest Blvd
Suite 400
Knoxville, TN 37923-4344
Phone (865) 524-1869

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83405GAMDAnesthesiology Physician
MMD.38416.LLSCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group of Knoxville PLLC Anesthesiology CurrentSince Jul 22, 2024 Accepting new patients
Neurosurgical Associates, PC CurrentSince Mar 22, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.