1. Home
  2. Directory
  3. Tennessee
  4. Nashville
  5. Physician Assistant
  6. NPI Profile

ALEXANDER PARK
NPI 1972470805
Physician Assistant in Nashville, TN

Active since October 23, 2025PECOS Enrolled
415 WILSONIA AVE, NASHVILLE, TN 37205(707) 815-5040 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander Park NPPES

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

ALEXANDER PARK (NPI 1972470805) is an individual physician assistant in Nashville, Tennessee and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972470805
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER PARK
Location Address415 WILSONIA AVENashville, TN 37205-1338
Mailing Address415 Wilsonia AveNashville, TN 37205-1338 · (707) 815-5040
Phone(707) 815-5040
Sole ProprietorYes
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1972470805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
415 WILSONIA AVE, Nashville, TN 37205
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Park 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Alexander Park's NPI number?

The NPI number for Alexander Park is 1972470805. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Alexander Park located?

Alexander Park practices at 415 Wilsonia Ave, Nashville, TN 37205. The listed phone number is (707) 815-5040.

What is Alexander Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Park enrolled in Medicare?

Yes. Alexander Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Park was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.