Individual provider · Type 1 NPI

Alexis Marie Pothuraju, PA-C

Physician Assistant · Winston Salem, NC

NPI number 1902630809 Active

Practice location

3333 Brookview Hills Blvd Ste 204
Winston Salem, NC 27103-5661

Call (336) 774-3740 Map

Fax (336) 774-3780

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-14773 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902630809

Alexis Marie Pothuraju, PA-C's National Provider Identifier is 1902630809, issued on Sep 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 3, 2026.