Organization Active NPI

Donald W Alexander, MD PC

  • Otolaryngology Physician
  • Marietta, GA
National Provider Identifier
1912323700
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
21471 Issued in GA
Legal business name
DONALD W ALEXANDER, MD PC
Practice address
833 Campbell Hill St NW
Suite 420
Marietta, GA 30060-1134
Phone
(770) 424-1968
Fax
(770) 424-4782
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Donald W Alexander, MD
Title
Owner
Phone
(770) 424-7968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X 21471 GA Primary
Otolaryngic Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0602X 21471 GA

Addresses

Primary practice location

833 Campbell Hill St NW
Suite 420
Marietta, GA 30060-1134

Mailing address

833 Campbell Hill St NW
Suite 420
Marietta, GA 30060-1134
Phone (770) 424-1968

Other identifiers 2

IdentifierTypeStateIssuer
000197986OMedicaidGA
000197986PMedicaidGA

National Provider Directory

National Provider Directory

Locations

1344 E Cobb Dr
Marietta, GA 30068
Phone (770) 424-1968

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14263/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1912323700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-424-1968",
            "fax_number": "770-424-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-424-1968",
            "fax_number": "770-424-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD W ALEXANDER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-424-7968",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "21471",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "GA",
            "license": "21471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000197986O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000197986P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.