Individual provider Active NPI

Alexis Noelle Rook, PA-C

  • Physician Assistant
  • Newnan, GA
National Provider Identifier
1124503933
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8890 Issued in GA
Practice address
1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Phone
(770) 502-2121
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8890 GA Primary

Addresses

Primary practice location

1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416

Mailing address

312 Kensington Dr
Peachtree City, GA 30269-2784
Phone (770) 312-1835

Other practice location 1

100 Line Creek Dr
Peachtree City, GA 30269-1028
Phone (770) 847-8786

Other practice location 2

749 Lanier Ave W
Fayetteville, GA 30214-7658
Phone (770) 835-4925

Other identifiers 1

IdentifierTypeStateIssuer
8890OtherGAGA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200425000126 GA Practitioner - Physician Assistant 5597195933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

35 Arbor Springs Ter
Newnan, GA 30265-4214
Phone (470) 323-5200

7301 Blackmon Rd
Columbus, GA 31909-4478
Phone (706) 383-0910

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1124503933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 KENSINGTON DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692784",
            "telephone_number": "770-312-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E STE 1200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656416",
            "telephone_number": "770-502-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Line Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691028",
            "country_code": "US",
            "telephone_number": "770-847-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 Lanier Ave W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147658",
            "country_code": "US",
            "telephone_number": "770-835-4925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOK",
        "first_name": "ALEXIS",
        "middle_name": "NOELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "8890",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.