DR. ALEX TANKERSLEY MD
NPI 1417697129
Student in an Organized Health Care Education/Training Program in Corinth, MS

Active since March 30, 2022PECOS Enrolled
611 ALCORN DR, CORINTH, MS 38834(662) 293-1000 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alex Tankersley Md NPPES

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

DR. ALEX TANKERSLEY MD (NPI 1417697129) is an individual student in an organized health care education/training program in Corinth, Mississippi, licensed in Alabama (34) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mobile.

NPPES Registry Identity

NPI1417697129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEX TANKERSLEYCredential: MD
Location Address611 ALCORN DRCorinth, MS 38834-9321
Mailing Address611 Alcorn DrCorinth, MS 38834-9321 · (662) 293-1000
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
NPI 1417697129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AL · 34
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 ALCORN DR, Corinth, MS 38834

Secondary Practice Location 1

Location 12451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 471-7207 · Fax (251) 471-7468

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alex Tankersley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Psychiatry & Neurology (Psychiatry)
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine (Cardiovascular Disease)
611 ALCORN DR, SUITE 230
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834

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 Alex Tankersley's NPI number?

The NPI number for Alex Tankersley is 1417697129. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Alex Tankersley located?

Alex Tankersley practices at 611 Alcorn Dr, Corinth, MS 38834. The listed phone number is (662) 293-1000.

What is Alex Tankersley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alex Tankersley enrolled in Medicare?

Yes. Alex Tankersley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Tankersley was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.