Individual provider Active NPI

Alexandra M Tiliakos, MD

  • Rheumatology Physician
  • Lawrenceville, GA
National Provider Identifier
1407064447
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
63141 Issued in GA
Practice address
705 Walther Rd
Lawrenceville, GA 30046-8725
Phone
(770) 963-3801
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 63141 GA Primary

Addresses

Primary practice location

705 Walther Rd
Lawrenceville, GA 30046-8725

Mailing address

155 Steeple Gate LN
Roswell, GA 30076-5523

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000366 GA Practitioner - RheumatologyPractitioner - Internal Medicine 8022286756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Arthritis and Rheumatology Center PCGroup PAC ID 4688812001, 24 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

3921 Johns Creek CT
Suite C
Suwanee, GA 30024-1252
Phone (770) 284-3150

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63141GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Rheumatology Center PC CurrentSince Jul 1, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 12, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 12, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 12, 2025 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Butler St SE
Atlanta, GA 30368
Phone (404) 327-5920

3921 Johns Creek Ct
Ste C
Suwanee, GA 30024
Phone 7702843150458

Interoperability endpoints

  • Direct secure messaging: alexandra.tiliakos@arcpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAADCA

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1407064447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 STEEPLE GATE LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-963-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILIAKOS",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "63141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.