Alexis Vallianatos
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Concord, GA
NPI 1386554111 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1386554111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 166 Oxford Cir
Concord, GA 30206-3288 - Phone
- (917) 683-5385
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
166 Oxford Cir
Concord, GA 30206-3288
Mailing address
166 Oxford Cir
Concord, GA 30206-3288
Other providers in Concord, GA
All providers in Concord, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.