Gena D Alexander-Albert, MD

Individual provider Active NPI Pediatrics Physician · Watkinsville, GA

NPI 1770516668 · NPPES record last updated Aug 1, 2018

Key facts

NPI
1770516668
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
046664 (GA)
Practice address
1305 Jennings Mill Rd Ste 230
Watkinsville, GA 30677
Phone
(706) 552-1700
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046664GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 046664 GA Yes

Addresses

Primary practice location

1305 Jennings Mill Rd Ste 230
Watkinsville, GA 30677

Mailing address

2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (470) 271-3418

Other identifiers

IdentifierTypeStateIssuer
000830563AMedicaidGA
000830563BMedicaidGA

Other names

  • Gena D Albert Former name

Other providers in Watkinsville, GA

All providers in Watkinsville, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.