Individual provider Active NPI

Alice Alonzo, FNP

  • Family Nurse Practitioner
  • Eastman, GA
National Provider Identifier
1821461047
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN149944 Issued in GA
Practice address
829 Plaza Ave
Eastman, GA 31023-6757
Phone
(478) 448-8272
Fax
(478) 448-8273
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN149944 GA Primary

Addresses

Primary practice location

829 Plaza Ave
Eastman, GA 31023-6757

Mailing address

829 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 448-8272

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117003123 GA Practitioner - Nurse Practitioner 7911217203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodge County Hospital AuthorityGroup PAC ID 1759372733, 14 clinicians

Practice addresses (Care Compare)

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 374-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge County Hospital Authority CurrentSince Oct 23, 2019 Accepting new patients
Dodge County Hospital Authority CurrentSince Oct 23, 2019 Accepting new patients
Dodge County Hospital Authority Current Accepting new patients

Locations

829 Plaza Ave
Eastman, GA 31023
Phone (478) 374-1409

1112 Plaza Ave
Ste B
Eastman, GA 31023
Phone (478) 374-7801

1207 Plaza Ave
Eastman, GA 31023
Phone (478) 374-2003

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1821461047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236757",
            "telephone_number": "478-448-8272",
            "fax_number": "478-448-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236757",
            "telephone_number": "478-448-8272",
            "fax_number": "478-448-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN149944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.