Provider Demographics
NPI:1235304825
Name:MACDONALD, JAMES ALEXIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALEXIS
Last Name:MACDONALD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:507 N BRIGHTLEAF BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4405
Practice Address - Country:US
Practice Address - Phone:919-937-3022
Practice Address - Fax:919-934-4133
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2021-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-000322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914569Medicaid
NC5914569Medicaid