Individual provider Active NPI

Alyssa Jill Style, D.O.

  • Family Medicine Physician
  • Stone Mountain, GA
National Provider Identifier
1588157069
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88041 Issued in GA
Practice address
1835 E Park Place Blvd Ste 110
Stone Mountain, GA 30087-3457
Phone
(770) 469-4131
Fax
(770) 469-3931
NPI assigned
Jun 11, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 88041 GA Primary

Addresses

Primary practice location

1835 E Park Place Blvd Ste 110
Stone Mountain, GA 30087-3457

Mailing address

1835 E Park Place Blvd Ste 110
Stone Mountain, GA 30087-3457
Phone (770) 469-4131

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
I20210813002617 GA Practitioner - Family Practice 8628325610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1505 Lilburn Stone Mountain Rd
Suite 100
Stone Mountain, GA 30087-1857
Phone (770) 469-4131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Dec 1, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 17, 2023 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Aug 23, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Dekalb Medical Primary Care Group LLC PastSince Aug 1, 2023 Accepting new patients

Locations

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

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1835 E Park Place Blvd
Ste 110
Stone Mountain, GA 30087
Phone (770) 469-4131

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 5

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.

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1588157069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E PARK PLACE BLVD STE 110",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873457",
            "telephone_number": "770-469-4131",
            "fax_number": "770-469-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E PARK PLACE BLVD STE 110",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873457",
            "telephone_number": "770-469-4131",
            "fax_number": "770-469-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYLE",
        "first_name": "ALYSSA",
        "middle_name": "JILL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.