| J. Sidney Alexander, M.d., P.c. | |
|
9111 Cross Park Dr Suite D200 Knoxville TN 37923-4506 | |
| (865) 470-4206 | |
| (865) 470-4217 |
| Full Name | J. Sidney Alexander, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9111 Cross Park Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | James Sidney Alexander (PRESIDENT) |
| Authorized Official Contact | 8654704206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Sidney Alexander, M.d., P.c. 9111 Cross Park Dr Suite D200 Knoxville TN 37923-4506 Ph: (865) 470-4206 | J. Sidney Alexander, M.d., P.c. 9111 Cross Park Dr Suite D200 Knoxville TN 37923-4506 Ph: (865) 470-4206 |
| NPI Number | 1538204003 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 6103885199 |
|---|---|
| Medicare Enrollment ID | O20041006000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538204003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 18369 (Tennessee) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11867 (Tennessee) | Secondary |
| Provider Name | James S Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922047141 PECOS PAC ID: 8820057813 Enrollment ID: I20041008000189 |
| Provider Name | Okon Atte Enyenihi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437177169 PECOS PAC ID: 4183672033 Enrollment ID: I20050106000876 |
| Provider Name | Joey T Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427057652 PECOS PAC ID: 2567414568 Enrollment ID: I20060928000543 |
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