Jexandria Dominique Patterson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN227581 Issued in GA

Practice address

144 Scott Blvd
Decatur, GA 30030-2307

Phone

(404) 947-1723

Fax

(404) 947-1723

NPI assigned

Sep 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Jexandria Patterson Other name

Medicare fee-for-service enrollment

Enrolled in GA, NY2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jexandria.patterson@hucl-ga.direct.office.nextgen.com

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Healthy USA Company LLC

  • Public Health or Welfare Agency
  • Stone Mountain, GA
  • NPI 1336921006
  NPD Authorized official

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1093290629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55255",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303085255",
            "telephone_number": "404-947-1723",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302307",
            "telephone_number": "404-947-1723",
            "fax_number": "404-947-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JEXANDRIA",
        "middle_name": "DOMINIQUE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEXANDRIA",
            "last_name": "PATTERSON",
            "prefix": "PROF.",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth S Patrick, RPH
• Mark Patrick, D.C.
• Rachel Lynn Patrick, PH.D.
• Chardonnay Patterson, MSW
• Christine Patterson
• Margaret Louise Patterson, RD
• Paul a Askew Sigma Medical Supply
• Paul Lyle Glasser DDS, PC
• Paul Saros LLC
• Marina Paul, NP

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.