ALEXIS MALCOLM (NPI# 1235500273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235500273 |
| Entity Type | Individual |
| Full Name | ALEXIS MALCOLM |
| Credential | NP |
| Practice Address |
2518 Jimmy Lee Smith Pkwy Hiram GA 30141-2068 |
| Mailing Address |
5665 New Northside Dr Atlanta GA 30328-5831 |
| Practice Telephone | 4706447000 |
| Mailing Telephone | 7708746907 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN234397 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2518 JIMMY LEE SMITH PKWY |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514808 | Mopelola Isola | Internal Medicine | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2005-08-02 |
| 1942821921 | Mehul Patel | Pharmacist | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2020-05-01 |
| 1669934576 | Allyson Katheryn Perko | Registered Nurse | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2019-04-01 |
| 1790243723 | Jennifer Smith | Registered Nurse | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2019-03-08 |
| 1740753003 | Carole Mccann | Nurse Practitioner | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2019-01-09 |
| 1174004113 | Catherine Tinker Bittinger | Physician Assistant | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2018-08-28 |
| 1265989636 | Zachary Walden | Nurse Practitioner | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2016-09-02 |
| 1447627310 | Jennifer Elizabeth Collins | Nurse Practitioner | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2015-08-27 |
| 1649686825 | Kamardeen Diekola Alabi | Internal Medicine | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2014-07-08 |
| 1831534858 | Iwayemi Olatunde Olayeye | Hospitalist | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2013-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1952383192 | Carol J Scully | Nurse Practitioner | 176 Marietta Hwy, Bldg A, Hiram, GA 30141-1836 | 2005-11-15 |
| 1740753003 | Carole Mccann | Nurse Practitioner | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2019-01-09 |
| 1265989636 | Zachary Walden | Nurse Practitioner | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 2016-09-02 |
| 1821149139 | Tabatha Peshel | Nurse Practitioner | 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 | 2007-01-15 |
| 1184603045 | Donna Van Bladel Wall | Nurse Practitioner | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
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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.