MEDICARE: ALEXA C GATERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-06166	NC

General Provider Information

NPI Number	:	1730545500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA C GATERS PA-C

Provider Business Mailing Address
First Line	:	4909 WATERS EDGE DR STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-2462
Country	:	US
Telephone Number	:	919-589-1204
Fax Number	:	909-589-1264

Provider Business Practice Location Address
First Line	:	4909 WATERS EDGE DR STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-2462
Country	:	US
Telephone Number	:	919-589-1204
Fax Number	:	909-589-1264

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2016
Last Update Date	:	02/09/2026

Similar Medicare Providers

1053631531 — DAWN M HALL MA, LPC, LCMHCS
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-2462

Practice Phone: 919-589-2196
Practice Fax:

1023745734 — VIRGINIA WINSTEAD
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-2462

Practice Phone: 919-285-1647
Practice Fax:

1740309996 — JEFFREY LEWIS LEVY LMFT
Practice Location Address:

4909 WATERS EDGE DR , SUITE 100
RALEIGH, NC
27606-2462

Practice Phone: 919-363-0150
Practice Fax:

1881897320 — MR. THOMAS GERARD COOGAN JR. MA, LPC
Practice Location Address:

4909 WATERS EDGE DR STE 100
RALEIGH, NC
27606-2462

Practice Phone: 919-538-3458
Practice Fax: 888-325-6160

1538321211 — COMMUNITY ADULT SERVICES, INCORPORATED
Practice Location Address:

4909 WATERS EDGE DR , SUITE 204
RALEIGH, NC
27606-2462

Practice Phone: 919-641-8010
Practice Fax:

1295986495 — TASHA L KORNEGAY PHD
Practice Location Address:

4909 WATERS EDGE DR , SUITE 104
RALEIGH, NC
27606-2462

Practice Phone: 919-601-1313
Practice Fax:

Directions to “ ALEXA C GATERS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.