ALEXANDRA SLEDD MACK M.D. NPI 1174812192

NPI Information

  • NPI: 1174812192
  • Provider Name: ALEXANDRA SLEDD MACK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 825 FAIRFAX AVE
    STE 118
    NORFOLK, VA
    ZIP 23507
  • Phone: (757) 446-5955

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NPI Details

Alexandra Sledd Mack, M.D. is a family medicine in Norfolk, VA with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Alexandra Sledd Mack, M.D. NPI is 1174812192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

825 FAIRFAX AVE
STE 118
NORFOLK, VA
ZIP 23507-914
Phone: (757) 446-5955
Fax: (757) 446-5196

The NPI 1174812192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 3/30/2011 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0101260428VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174812192OTHERVIRGINIACIGNA
21174812192OTHERVIRGINIAVIRGINIA PREMIER HEALTH PLAN
31174812192OTHERVIRGINIAUSA MANAGED CARE
41174812192OTHERVIRGINIAAETNA
51174812192OTHERVIRGINIAMULTIPLAN
61174812192MEDICAIDNORTH CAROLINA
71174812192OTHERVIRGINIACOVENTRY HEALTH CARE
81174812192OTHERVIRGINIAUNITED HEALTHCARE
91174812192OTHERVIRGINIATRICARE/CHAMPUS
101174812192OTHERVIRGINIAHUMANA
111174812192OTHERVIRGINIAOPTIMA HEALTH
121174812192MEDICAIDVIRGINIA
131174812192OTHERVIRGINIAANTHEM BC/BS
141174812192OTHERVIRGINIAVIRGINIA HEALTH NETWORK
151174812192OTHERVIRGINIACORVEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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