MRS. MARY BLAYDES ALEXANDER L.P.C.
NPI 1225162555
Counselor - Professional in Dallas, GA

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
200 E MEMORIAL DR, SUITE 6, DALLAS, GA 30132(770) 505-1431(770) 505-1431 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Mary Blaydes Alexander L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY BLAYDES ALEXANDER L.P.C. (NPI 1225162555) is an individual professional provider in Dallas, Georgia, licensed in Georgia (LPC003206) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225162555
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY BLAYDES ALEXANDERCredential: L.P.C.
Location Address200 E MEMORIAL DR, SUITE 6Dallas, GA 30132-3811
Mailing Address200 E Memorial Dr, Suite 6Dallas, GA 30132-3811 · (770) 505-1431 · Fax (770) 505-1431
Fax(770) 505-1431
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1225162555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC003206
200 E MEMORIAL DR, Dallas, GA 30132

Other Identifiers 1

Medicaid795105989AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Blaydes Alexander L.p.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739539941
PECOS Enrollment IDI20240102000524
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Alexander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
200 E MEMORIAL DR, SUITE 6
Dallas, GA 30132
  • Reassigned Medicare billing, Georgia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
200 E MEMORIAL DR, SUITE 6
DALLAS, GA 30132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Alexander's NPI number?

The NPI number for Mary Alexander is 1225162555. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Mary Alexander located?

Mary Alexander practices at 200 E Memorial Dr Suite 6, Dallas, GA 30132. The listed phone number is (770) 505-1431.

What is Mary Alexander's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Alexander enrolled in Medicare?

Yes. Mary Alexander is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Alexander reassigns Medicare benefits to Mary Alexander Counseling LLC (Dallas, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Alexander accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Alexander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Alexander was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.