Healthcare Provider Details

I. General information

NPI: 1871416297
Provider Name (Legal Business Name): ALEX MCKINLEY GOINS CRNA, DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

IV. Provider business mailing address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

V. Phone/Fax

Practice location:
  • Phone: 336-909-5178
  • Fax:
Mailing address:
  • Phone: 336-909-5178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number160188
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number8429
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: