Active NPI
Alexis Aliyah Bent, APRN
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1013550136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN270093
- Practice address
- 490 Bill Kennedy Way SE
Atlanta, GA 30316-6835 - Phone
- (404) 446-4726
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN270093 | GA | |
| Nurse Practitioner | 363L00000X | RN270093 | GA | Primary |
Addresses
Primary practice location
490 Bill Kennedy Way SE
Atlanta, GA 30316-6835
Mailing address
490 Bill Kennedy Way SE
Atlanta, GA 30316-6835
Phone (404) 446-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270093 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intown Pediatric and Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFACAA/Endpoint/JFACAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1457375073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1013550136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 BILL KENNEDY WAY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303166835",
"telephone_number": "404-446-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 BILL KENNEDY WAY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303166835",
"telephone_number": "404-446-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENT",
"first_name": "ALEXIS",
"middle_name": "ALIYAH",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN270093",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN270093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.