Alexis Antoniolli, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-NP210580 Issued in GA

Practice address

1975 Highway 54 W Ste 150
Peachtree City, GA 30269-4795

Phone

(770) 486-5000

NPI assigned

Feb 17, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1053264408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CORNWALL BRG",
            "city": "PEACHTREE CTY",
            "state": "GA",
            "postal_code": "302691380",
            "telephone_number": "404-664-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 150",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694795",
            "telephone_number": "770-486-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Cornwall Brg",
            "address_purpose": "LOCATION",
            "city": "Peachtree Cty",
            "state": "GA",
            "postal_code": "302691380",
            "country_code": "US",
            "telephone_number": "404-664-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIOLLI",
        "first_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP210580",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN210580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Plus LLC
• Angel Pain Relief Center
• Paula Andrea Angulo
• Ankle and Foot Centers of Georgia, LLC
• Brianna Anthony
• Ruby Appiah, M.D.
• Wendy Hunt Archibald, PT
• Arise Recovery Residences (Arise Recovery & Behavioral Health)
• Mahogany Arnold
• Michael Arnold, BCBA

• Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.