Alpha Internal Medicine - Medicare in Fayetteville, GA

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Alpha Internal Medicine is a medicare enrolled "Internal Medicine" provider in Fayetteville, Georgia. Their current practice location is 745 Glynn St S, Fayetteville, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 719-5490.

Alpha Internal Medicine is licensed to practice in Georgia (license number 040693) and it also participates in the medicare program. Alpha Internal Medicine is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083622849.

Contact Information

Alpha Internal Medicine
745 Glynn St S,
Fayetteville, GA 30214-2049
(770) 719-5490
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlpha Internal Medicine
TypeFacility
SpecialityInternal Medicine
Location745 Glynn St S, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083622849
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 04/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2961398185
  • Enrollment ID: O20040225000321

Medical Identifiers

Medical identifiers for Alpha Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083622849NPI-NPPES
00753519BMedicaidGA
510368765AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 720353 (Georgia)Secondary
207R00000XInternal Medicine 040693 (Georgia)Primary
207R00000XInternal Medicine 055270 (Georgia)Secondary
207R00000XInternal Medicine 053123 (Georgia)Secondary
207R00000XInternal Medicine 047760 (Georgia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Alpha Internal Medicine acts as a billing entity for following providers:
Provider NameDonna Michelle Haney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497821862
PECOS PAC ID: 3072583913
Enrollment ID: I20040729000189
Provider NameMonica O Watts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043356355
PECOS PAC ID: 9335192400
Enrollment ID: I20050301000496
Provider NameCarl J Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699725713
PECOS PAC ID: 0941268643
Enrollment ID: I20051214000108
Provider NameChristine Marie Danforth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679665558
PECOS PAC ID: 0244250116
Enrollment ID: I20060216000064
Provider NameLoida Bonney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316998982
PECOS PAC ID: 6305862665
Enrollment ID: I20070627000066
Provider NameCarol A Pisarello
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679577019
PECOS PAC ID: 8123129772
Enrollment ID: I20070726000110
Provider NameMelissa D. Primrose
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457496234
PECOS PAC ID: 7012004435
Enrollment ID: I20071101000531
Provider NameBetsy Susan Horton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932153780
PECOS PAC ID: 9830085059
Enrollment ID: I20100519000016
Provider NameAndrew J Malinchak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700810116
PECOS PAC ID: 7810189743
Enrollment ID: I20101011000011
Provider NameMichele Asa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922376417
PECOS PAC ID: 5294986584
Enrollment ID: I20121114000363
Provider NameDavid C Rowan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366763070
PECOS PAC ID: 4385892728
Enrollment ID: I20130619000432
Provider NameMelinda Chavis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841628583
PECOS PAC ID: 6406082767
Enrollment ID: I20131115001244
Provider NameTodd Deavens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467749176
PECOS PAC ID: 8426206392
Enrollment ID: I20150410001017
Provider NameCorby L. Barkhaus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841680048
PECOS PAC ID: 7113245127
Enrollment ID: I20150422001893
Provider NameKristina Harpe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497295083
PECOS PAC ID: 1658646955
Enrollment ID: I20171012003253
Provider NameJae Youn Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720519283
PECOS PAC ID: 1951652502
Enrollment ID: I20180921000282
Provider NameJana Ludwig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740860527
PECOS PAC ID: 6002206497
Enrollment ID: I20211129000696
Provider NameKevin L Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558757922
PECOS PAC ID: 5890031215
Enrollment ID: I20251020000376

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alpha Internal Medicine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alpha Internal Medicine
Po Box 142459,
Fayetteville, GA 30214-6515

Ph: (770) 719-5490		Alpha Internal Medicine
745 Glynn St S,
Fayetteville, GA 30214-2049

Ph: (770) 719-5490

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.