Xavier Albritton
Individual provider Active NPI Driver · Atlanta, GA
NPI 1235708561 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1235708561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 062036296 (GA)
- Practice address
- 5006 Saint Clair Dr NE
Atlanta, GA 30329-2664 - Phone
- (414) 303-2725
- NPI assigned
- Jun 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|
| 062036296 | GA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 062036296 | GA | Yes |
Addresses
Primary practice location
5006 Saint Clair Dr NE
Atlanta, GA 30329-2664
Mailing address
5006 Saint Clair Dr NE
Atlanta, GA 30329-2664
Phone (414) 303-2725
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. 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.