Alyssa Michelle Fobb

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3405 Tree Corners Pkwy
Norcross, GA 30092-3144

Phone

(678) 427-3106

NPI assigned

Nov 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1649784406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 TREE CORNERS PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 TREE CORNERS PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923144",
            "telephone_number": "678-427-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBB",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Norcross, GA
• Providers in Norcross, GA by specialty
• Attendant Care Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.