Healthcare Provider Details

I. General information

NPI: 1669308656
Provider Name (Legal Business Name): ALEXA WIX PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5148 MURFREESBORO RD
LA VERGNE TN
37086-2712
US

IV. Provider business mailing address

105 SE SPRINGDALE DR
MOUNT JULIET TN
37122-3622
US

V. Phone/Fax

Practice location:
  • Phone: 615-213-2273
  • Fax: 615-213-2271
Mailing address:
  • Phone: 615-438-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: