Individual provider Active NPI

Alyssa Michelle Einstein, NP-C

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1417710286
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN315194 Issued in GA
Practice address
835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1008
Phone
(770) 442-5557
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN315194 GA Primary

Addresses

Primary practice location

835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1008

Mailing address

835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1008
Phone (770) 442-5557

Other practice location 1

850 Charles Hardy Pkwy
Dallas, GA 30157-3163
Phone (770) 336-8888

Other practice location 2

2045 Highway 34 E
Newnan, GA 30265-1327
Phone (770) 502-0202

Other practice location 3

10 Cloverleaf Dr
Cartersville, GA 30120-2178
Phone (770) 606-8026

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
I20240322000940 GA Practitioner - Nurse Practitioner 9436596756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Georgia PCGroup PAC ID 6800885757, 56 clinicians

Practice addresses (Care Compare)

2045 Hwy 34 E
Newnan, GA 30265
Phone (770) 502-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Lab of Skin Cancer Specialists, P.C. CurrentSince Feb 12, 2024 Accepting new patients
Aqua Dermatology of Georgia PC CurrentSince Feb 12, 2024 Accepting new patients

Locations

10 Cloverleaf Dr
Cartersville, GA 30120
Phone (770) 386-1261

850 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 336-8888

835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557

835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815

2045 Highway 34 E
Newnan, GA 30265
Phone (770) 502-0202

Organizations & group practices 2

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1417710286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 COGBURN AVE NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601008",
            "telephone_number": "770-442-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 COGBURN AVE NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601008",
            "telephone_number": "770-442-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Charles Hardy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301573163",
            "country_code": "US",
            "telephone_number": "770-336-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651327",
            "country_code": "US",
            "telephone_number": "770-502-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Cloverleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202178",
            "country_code": "US",
            "telephone_number": "770-606-8026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EINSTEIN",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN315194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.