Alexis Jones, CERTIFIED HAIR LOSS
Individual provider Active NPI Prosthetics Case Management · Gray, GA
NPI 1033940911 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1033940911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- License
- CO088286 (GA)
- Practice address
- 4274 Gray Hwy Ste F
Gray, GA 31032-5937 - Phone
- (478) 456-4810
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO088286 | GA | MD | Prosthetics Case Management |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CO088286 | GA | Yes |
Addresses
Primary practice location
4274 Gray Hwy Ste F
Gray, GA 31032-5937
Mailing address
100 Clinton Crossing Dr
Gray, GA 31032-5914
Phone (478) 456-4810
Other providers in Gray, GA
- Bolivia Traci Jenkins
- Jacob A. Jenkins
- Jones County Health Department
- Jones County Nursing Home LLC
- Jones County School System
- Shaun Patrick Kell
- Todd F Kelleher
- Michael Kelly
- Marianne Kimes
- Cindy King
All providers in Gray, GA · Prosthetics Case Management in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.