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SUNIL MANUEL ALEXANDER M.D.
NPI 1871688820
Specialist in Conyers, GA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1311 MILSTEAD AVE NE, CONYERS, GA 30012(770) 483-2368(770) 483-2368 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sunil Manuel Alexander M.d. NPPES

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

SUNIL MANUEL ALEXANDER M.D. (NPI 1871688820) is an individual specialist in Conyers, Georgia, licensed in Georgia (052417) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1999).

NPPES Registry Identity

NPI1871688820
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSUNIL MANUEL ALEXANDERCredential: M.D.
Location Address1311 MILSTEAD AVE NEConyers, GA 30012-3829
Mailing Address2727 Paces Ferry Road, Suite 1-1100Atlanta, GA 30339 · (470) 271-3421
Phone(770) 483-2368
Fax(770) 483-2368
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1999
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 13, 2018
✔ NPI 1871688820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 052417
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1311 MILSTEAD AVE NE, Conyers, GA 30012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health.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

Sunil Manuel Alexander M.d. 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 ID1052381217
PECOS Enrollment IDI20040727000818
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

3

Medicare enrollment records show Sunil Alexander reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Hospitalist Physicians LLC
24 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Piedmont Athens Specialty Care LLC
40 mi
Cardiovascular Disease
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 140 clinicians in this Medicare group
NPI 1184130627 (706) 475-7000
Piedmont Providers LLC
61 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%23 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MICHAEL JEROME GRADY D.O.
Specialist
1311 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 483-2368
HEDDIE JONES SIMMONS RN
Registered Nurse (Administrator)
1311 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (470) 772-7141

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 Sunil Alexander's NPI number?

The NPI number for Sunil Alexander is 1871688820. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sunil Alexander located?

Sunil Alexander practices at 1311 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 483-2368.

What is Sunil Alexander's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sunil Alexander enrolled in Medicare?

Yes. Sunil 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 Sunil Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Alexander reassigns Medicare benefits to 3 organizations: Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Piedmont Athens Specialty Care LLC (Athens, GA) and Piedmont Providers LLC (Jasper, GA). 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 Sunil Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Alexander accept?

Health plans from Alliant Health Plans, Inc. and Ambetter Health list Sunil 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 Sunil Alexander affiliated with any hospitals?

According to CMS data, Sunil Alexander is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sunil Alexander was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.