Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex R Boller, PA-C

Individual provider Physician Assistant · NPI 1568449205

Alex R Boller, PA-C is a Physician Assistant in Madisonville, Tennessee. Licensed in New York, Pennsylvania and Tennessee. Registered with an NPI since 2005.

Licensed in
NY, PA, TN
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

301 Hiwassee Community Dr
Madisonville, TN 37354
Phone: (423) 436-7730
Fax: (423) 436-0384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004090 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA-001385-L (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4902 (TN)

Record details

NPI number1568449205
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESMarch 7, 2023
Certification dateDecember 2, 2022

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