Individual provider Active NPI

Alexandra Marie Dudley, FNP

  • Primary Care Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1417769837
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN307246 Issued in GA
Practice address
3020 Holcomb Bridge Rd
Norcross, GA 30071-1375
Phone
(404) 800-5181
Fax
(404) 800-5797
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN307246 GA Primary

Addresses

Primary practice location

3020 Holcomb Bridge Rd
Norcross, GA 30071-1375

Mailing address

3020 Holcomb Bridge Rd
Norcross, GA 30071-1375
Phone (404) 800-5181

Other practice location 1

10475 Medlock Bridge Rd Ste 820
Johns Creek, GA 30097-4437
Phone (404) 800-5181

Other practice location 2

5192 Baldwin Ter
Marietta, GA 30068-1578
Phone (281) 770-3667

Other practice location 3

369 Sandy Springs Circle
Sandy Springs, GA 30328
Phone (404) 800-5181

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
I20250507000157 GA Practitioner - Nurse Practitioner 2668999392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Wellness Center Inc. CurrentSince Feb 1, 2025 Accepting new patients
North Atlanta Anesthesia Professionals, LLC CurrentSince Jul 14, 2025 Accepting new patients
Global Medical Services of Ga LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1801 Peachtree St NE
Ste 300
Atlanta, GA 30309

10475 Medlock Bridge Rd
Ste 820
Johns Creek, GA 30097
Phone (678) 224-8686

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

3020 Holcomb Bridge Rd
Norcross, GA 30071
Phone (678) 626-1868

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDGDD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1417769837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711375",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711375",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Medlock Bridge Rd Ste 820",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974437",
            "country_code": "US",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5192 Baldwin Ter",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300681578",
            "country_code": "US",
            "telephone_number": "281-770-3667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "369 Sandy Springs Circle",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "30328",
            "country_code": "US",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN307246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.