Provider Demographics
NPI:1760452486
Name:ALEXANDER, CHELLEY KAYE (MD)
Entity type:Individual
Prefix:
First Name:CHELLEY
Middle Name:KAYE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 VAIL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1248
Mailing Address - Country:US
Mailing Address - Phone:205-394-1499
Mailing Address - Fax:
Practice Address - Street 1:2001 VAIL AVE STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1222
Practice Address - Country:US
Practice Address - Phone:704-304-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-01916207Q00000X
AL21055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1760452486Medicaid
AL000034876Medicaid
NC188Q2OtherBCBS NC
NC188Q2OtherBCBS NC
NC1760452486Medicaid
NC188Q2OtherBCBS NC
AL000034876Medicaid