Individual provider Active NPI

Alexis Medina, FNP-C

  • Family Nurse Practitioner
  • Pelham, AL
National Provider Identifier
1679094957
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131072 Issued in AL
Practice address
130 Stonehaven Dr
Pelham, AL 35124-3908
Phone
(205) 835-2288
NPI assigned
Jun 27, 2017
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AL
Family Nurse Practitioner 363LF0000X NP002015 GA
Family Nurse Practitioner 363LF0000X 1-131072 AL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-131072 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP002015 GA

Addresses

Primary practice location

130 Stonehaven Dr
Pelham, AL 35124-3908

Mailing address

130 Stonehaven Dr
Pelham, AL 35124-3908
Phone (205) 835-2288

Other practice location 1

5001 Peachtree Blvd
Atlanta, GA 30341-2798
Phone (770) 458-8929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171214003176 AL Practitioner - Nurse Practitioner 9537427885 Reassigns benefits to 2 organizations
I20240628000113 GA Practitioner - Nurse Practitioner 9537427885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Georgia PCGroup PAC ID 0345493375, 12 clinicians

Practice addresses (Care Compare)

5001 Peachtree Blvd
Suite 115
Chamblee, GA 30341-2799
Phone (770) 458-8929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-131072ALMDFamily Nurse Practitioner
NP002015GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amed Healthcare Solutions, LLC Clinic/Center Current Accepting new patients
American Family Care, LLC Clinic/Center CurrentSince Oct 28, 2017 Accepting new patients
American Family Care, LLC Single Specialty Current Accepting new patients
Stopwatch Urgent Care Centers LLC Single Specialty CurrentSince Mar 9, 2019 Accepting new patients
American Family Care, LLC Clinic/Center CurrentSince Oct 28, 2017 Accepting new patients
Afc Physicians of Georgia, PC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Afc Physicians of Georgia, PC Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

5892 Trussville Crossings Pkwy
Trussville, AL 35235
Phone (205) 228-0080

5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929

4069 Cherokee St NW
Ste A
Kennesaw, GA 30144
Phone (470) 762-2060

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1679094957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONEHAVEN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243908",
            "telephone_number": "205-835-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEHAVEN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243908",
            "telephone_number": "205-835-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Peachtree Blvd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303412798",
            "country_code": "US",
            "telephone_number": "770-458-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALEXIS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP002015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131072",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-131072",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "NP002015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.