ALEXIS NOELLE ROOK (NPI# 1124503933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124503933 |
| Entity Type | Individual |
| Full Name | ALEXIS NOELLE ROOK |
| Credential | PA-C |
| Practice Address |
1825 Highway 34 E Ste 1200 Newnan GA 30265-6416 |
| Mailing Address |
312 Kensington Dr Peachtree City GA 30269-2784 |
| Practice Telephone | 7705022121 |
| Mailing Telephone | 7703121835 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8890 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA STATE LICENSE | 8890 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Line Creek Dr, Peachtree City, GA 302691028 | 7708478786 | |
| 749 Lanier Ave W, Fayetteville, GA 302147658 | 7708354925 |
| Street Address |
1825 HIGHWAY 34 E STE 1200 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508239997 | Wellstreet of Georgia PC | Clinic/Center | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2015-11-06 |
| 1952934465 | Ngozi Ikeme | Registered Nurse | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2020-02-13 |
| 1134775851 | Alexandra Lynn Otto | Emergency Medicine | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2019-08-19 |
| 1013415066 | Gabrielle Galon | Physician Assistant | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1386129724 | Hannah Joy Gravitt | Physician Assistant | 2462 Highway 34 E, Newnan, GA 30265-2372 | 2018-10-02 |
| 1063864130 | Norman Miller Gibby Jr. | Physician Assistant | 775 Poplar Rd Ste 130, Newnan, GA 30265-8301 | 2016-07-12 |
| 1053568915 | Michele Lore | Physician Assistant | 701 Newnan Crossing Bypass, Newnan, GA 30263 | 2008-08-22 |
| 1447454426 | Clerk Surgical Assisting Services | Physician Assistant | 20 Ozmore St, Newnan, GA 30263-1038 | 2007-06-13 |
| 1295823623 | Franchon Renee Carter | Physician Assistant | 59 Hospital Road, Newnan, GA 30263 | 2006-10-11 |
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1225012602 | Sandra Lynn Morris | Physician Assistant | 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263-2321 | 2005-11-30 |
| 1235781675 | Michael James Anderson | Physician Assistant | 1825 Highway 34 E, Newnan, GA 30265-6423 | 2019-07-16 |
| 1811473556 | Dianna Johnson Bureau | Physician Assistant | 1755 Highway 34 E Ste 2200, Newnan, GA 30265-3190 | 2018-07-16 |
| Find all providers in NEWNAN | ||||
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| 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.