Active NPI
Alyssa Gattis, PA
- Physician Assistant
- Suwanee, GA
National Provider Identifier
1366114290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11649
- Practice address
- 1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542 - Phone
- (770) 831-5525
- NPI assigned
- Sep 29, 2021
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 11649 | GA | Primary |
Addresses
Primary practice location
1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542
Mailing address
1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542
Phone (770) 831-5525
Other practice location 1
253 Erin Shores Dr
Sparta, GA 31087-2100
Phone (404) 771-0799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agattis178707@nghs.gadirect.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Children's Orthopaedics of Atlanta P.C. | Past | Accepting new patients |
Interoperability endpoints
- agattis178707@nghs.gadirect.net
Organizations & group practices 3
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.
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- NPI 1548247000
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- Pediatrics Physician
- Brookhaven, GA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1366114290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4101",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244542",
"telephone_number": "770-831-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4101",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244542",
"telephone_number": "770-831-5525"
}
],
"practiceLocations": [
{
"address_1": "253 Erin Shores Dr",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "GA",
"postal_code": "310872100",
"country_code": "US",
"telephone_number": "404-771-0799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATTIS",
"first_name": "ALYSSA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11649",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agattis178707@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1300 Peachtree Industrial Blvd Ste 4101",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300244542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.