ALEXIS BROOKE MUSSER (NPI# 1073869327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073869327 |
| Entity Type | Individual |
| Full Name | ALEXIS BROOKE MUSSER |
| Credential | NP |
| Practice Address |
1305 Jennings Mill Rd Ste 250 Watkinsville GA 30677-7238 |
| Mailing Address |
2727 Paces Ferry Road Suite 1-1100 (attention Denise) Atlanta GA 30339 |
| Practice Telephone | 7064751700 |
| Mailing Telephone | 4702713421 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184372 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 138 W Gibson St, Hartwell, GA 306431847 | 7066217575 | 7066217557 |
| Street Address |
1305 JENNINGS MILL RD STE 250 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437715752 | Agnes Kakaire | Nurse Practitioner | 247 Concord Dr, Watkinsville, GA 30677-2472 | 2019-05-13 |
| 1144714775 | Emily Kathleen Waldron | Nurse Practitioner | 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677-7351 | 2018-06-18 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1659873644 | Amber Michele Johnson | Nurse Practitioner | 1500 Langford Dr Bldg 200, Watkinsville, GA 30677-7298 | 2018-03-06 |
| 1629580048 | Gretchen Fennell Evans | Nurse Practitioner | 1181 Langford Dr Ste 104, Watkinsville, GA 30677-7242 | 2017-10-25 |
| 1013359918 | Britanny Dawn Castro | Nurse Practitioner | 1011 Oak Hill Ct, Watkinsville, GA 30677-1522 | 2013-07-22 |
| 1518308899 | Leslie V. Harvey | Nurse Practitioner | 1130 Forest Rd, Watkinsville, GA 30677-1806 | 2013-07-15 |
| 1659492973 | Robin H Myers | Nurse Practitioner | 1181 Langford Dr Bldg 200 Ste 105, Watkinsville, GA 30677-7242 | 2007-04-03 |
| 1902942063 | Shani Jones Howard | Nurse Practitioner | 1020 Twelve Oaks Pl Ste A, Watkinsville, GA 30677-4918 | 2007-01-29 |
| 1518031236 | Heather Corey Anderson | Nurse Practitioner | 1351 Stonebridge Pkwy Bldg 105, Watkinsville, GA 30677-6037 | 2006-11-17 |
| Find all providers in WATKINSVILLE | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
Please comment or provide details below to improve the information on ALEXIS BROOKE MUSSER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.