Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Alex R Boller, PA-C

Physician Assistant in Madisonville, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568449205

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Registry record

Entity type Individual (Type 1)

Name Alex R Boller

Credential PA-C

Sex Male

Practice address 301 Hiwassee Community Dr., Madisonville, TN, 37354

Phone (423) 436-7730

Fax (423) 436-0384

Enumeration date Dec 23, 2005

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA-001385-L (PA) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4902 (TN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 004090 (NY) Primary

Other identifiers

Identifier	Type	State	Issuer
910248	Other	-	NCCPA #
004090	Other	NY	LICENSE
MA-001385-L	Other	PA	LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1568449205 active?

Yes, as of the latest NPPES snapshot, NPI 1568449205 is active (record last updated 2023-03-07).

How do I verify Alex Boller's NPI record?

Cross-check NPI 1568449205 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.