Alexandra Maria Ackerman, NP
Individual provider Active NPI Nurse Practitioner · Newnan, GA
NPI 1669100418 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1669100418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN283458 (GA)
- Practice address
- 110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313 - Phone
- (770) 304-0987
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Medical Care Corporation
Practice addresses (Care Compare)
110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920001060 | GA | Practitioner - Nurse Practitioner | 3274918750 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Family Medicine | Current |
Accepting new patients |
| City of Hope Medical Group of Georgia LLC | Current |
Accepting new patients | |
| Piedmont Providers LLC | Past |
Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
110 Oak Hill Blvd
Ste 200
Newnan, GA 30265
Phone (770) 304-0987
62742 Collections Ctr Dr
Chicago, IL 60693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN283458 | GA | |
| Nurse Practitioner | 363L00000X | RN283458 | GA | Yes |
Addresses
Primary practice location
110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313
Mailing address
531 Witcher Rd
Newnan, GA 30263-4640
Phone (262) 758-1654
Other practice location 1
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 343-7692
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.