JOHNNY O ALEXANDER MD
NPI 1649439043
Radiology - Diagnostic Radiology in Chicago, IL

Q: What is Johnny Alexander's NPI number?

The NPI number for Johnny Alexander is 1649439043. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Q: What is Johnny Alexander's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Alexander was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment

99.95/100

CMS Quality Rating

3753 S COTTAGE GROVE AVE STE 101, CHICAGO, IL 60653(708) 216-9000 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2025, Oct 24, 2022 (2 updates tracked since 2022).

On this page

About Johnny O Alexander Md NPPES

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

JOHNNY O ALEXANDER MD (NPI 1649439043) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in New York (316970) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Fawcett Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1649439043

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOHNNY O ALEXANDERCredential: MD

Location Address3753 S COTTAGE GROVE AVE STE 101Chicago, IL 60653-1662

Mailing AddressUva Health Services Foundation, P.o. Box 9007Charlottesville, VA 22908-0001 · (434) 295-1000 · Fax (434) 972-4266

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2002

Enumeration DateJune 2, 2008

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1649439043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in NY · 316970✔ Licensed in DC · MD210012291✔ Licensed in VA · 0101243293✔ Licensed in IL · 36128037

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3753 S COTTAGE GROVE AVE STE 101, Chicago, IL 60653

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Secondary Practice Location 1

Location 12041 Georgia Ave NW # 1R84Washington, DC 20060-1662 · Phone (202) 865-3610

Other Identifiers 1

Medicaid1649439043VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida.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

Johnny O Alexander Md 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 ID9234201906

PECOS Enrollment IDI20090707000239, I20150305000748, I20221114001296, I20230118000770, I20230803002631

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 Reassignments

Medicare enrollment records show Johnny Alexander reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eastpointe Radiologists, P.C.

244 mi

Diagnostic Radiology

22101 MOROSS RD
Detroit, MI 48236

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1881642056 (313) 343-3248

Lifebridge Community Physicians Inc

575 mi

Otolaryngology

504 E RIDGEVILLE BLVD STE 110
Mount Airy, MD 21771

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1487460291 (443) 289-3459

Professional Services Of Holy Cross

575 mi

Health Service

19801 OBSERVATION DR
Germantown, MD 20876

Reassigned Medicare billing, District of Columbia enrollment
234 clinicians in this Medicare group

NPI 1205790706 (301) 557-6000

Adventist Physician Services, Inc.

578 mi

Physical Medicine & Rehabilitation

820 WEST DIAMOND AVENUE
Gaithersburg, MD 20878

Reassigned Medicare billing, District of Columbia enrollment
340 clinicians in this Medicare group

NPI 1376623207 (301) 315-3826

Blackwell Physicians, LLC

580 mi

Diagnostic Radiology

9601 BLACKWELL RD STE 150
Rockville, MD 20850

Reassigned Medicare billing, District of Columbia enrollment
118 clinicians in this Medicare group

NPI 1932772589 (240) 864-1100

Diagnostic Imaging Specialists PA

583 mi

Diagnostic Radiology

303 PARKWAY DR NE
Atlanta, GA 30312

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1366424947 (404) 265-4000

Howard University

593 mi

Multi-Specialty

2041 GEORGIA AVE NW
Washington, DC 20060

Reassigned Medicare billing, District of Columbia enrollment
319 clinicians in this Medicare group

NPI 1033163597 (202) 865-6100

Tjh Medical Services, P.C.

721 mi

Internal Medicine

8906 135TH ST
Jamaica, NY 11418

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Tjh Medical Services PC
497 clinicians in this Medicare group

NPI 1184670465 (718) 206-6742

Jamaica Hospital

722 mi

Emergency Medical Services

8900 VAN WYCK EXPWY
Jamaica, NY 11418

Reassigned Medicare billing, New York enrollment
738 clinicians in this Medicare group

NPI 1477505220 (718) 206-8918

Donalsonville Hospital Inc

758 mi

Rural

102 HOSPITAL CIRCLE
Donalsonville, GA 39845

Reassigned Medicare billing, Georgia enrollment
101 clinicians in this Medicare group

NPI 1720095805 (229) 524-5217

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

Areas of Expertise CMS Part B claims 44

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

598 services566 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

244 services241 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

147 services147 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

89 services89 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

88 services88 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

88 services87 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

79 services77 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

75 services75 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

75 services74 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

69 services69 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

65 services64 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

52 services50 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

48 services48 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

48 services48 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

37 services37 patients

Mri scan of blood vessels of neck without contrast 70547

An MRI scan of the neck's blood vessels without contrast is a non-invasive procedure that uses magnetic fields to create detailed images of your neck's blood vessels. It helps identify any abnormalities or blockages, aiding in accurate diagnosis and treatment planning.

36 services36 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

35 services35 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

30 services30 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

29 services27 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

29 services28 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

27 services27 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

26 services26 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

24 services24 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

24 services24 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services23 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

21 services20 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

21 services21 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

19 services17 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

19 services19 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

19 services19 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

17 services17 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

16 services16 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

15 services15 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

15 services15 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

14 services14 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

14 services14 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

13 services13 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

13 services12 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

13 services12 patients

Mri scan of abdomen without contrast 74181

An MRI scan of the abdomen without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of your abdominal organs. This procedure doesn't involve radiation or dye injection.

13 services13 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

12 services12 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

11 services11 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

11 services11 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210004

Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County

Birthing friendly

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210012

Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County

Emergency services Birthing friendly

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210057

Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.18

Promoting Interoperability

Improvement Activities

Cost

92.82

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 Johnny Alexander's NPI number?

The NPI number for Johnny Alexander is 1649439043. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Johnny Alexander located?

Johnny Alexander practices at 3753 S Cottage Grove Ave Ste 101, Chicago, IL 60653. The listed phone number is (708) 216-9000.

What is Johnny Alexander's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Johnny Alexander enrolled in Medicare?

Yes. Johnny 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 organizations bill Medicare for Johnny Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Alexander reassigns Medicare benefits to 11 organizations: Eastpointe Radiologists, P.C. (Detroit, MI), Lifebridge Community Physicians Inc (Mount Airy, MD), Professional Services Of Holy Cross (Germantown, MD), Adventist Physician Services, Inc. (Gaithersburg, MD), Blackwell Physicians, LLC (Rockville, MD) and 6 more organizations, listed in the Medicare section above. Each 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 Johnny Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnny Alexander accept?

Health plans from CareSource and Oscar Health Maintenance Organization of Florida list Johnny 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.

Is Johnny Alexander affiliated with any hospitals?

According to CMS data, Johnny Alexander is affiliated with Hca Florida Fawcett Hospital, Hca Florida Gulf Coast Hospital, Holy Cross Hospital, Sinai Hospital Of Baltimore and Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Johnny Alexander was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.