Individual provider Active NPI

Alissa Rae Traina

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1841855905
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9816 Issued in GA
Practice address
978 Lindbergh Dr NE
Atlanta, GA 30324-3731
Phone
(678) 777-0585
NPI assigned
May 4, 2019
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9816 GA Primary

Addresses

Primary practice location

978 Lindbergh Dr NE
Atlanta, GA 30324-3731

Mailing address

978 Lindbergh Dr NE
Atlanta, GA 30324-3731
Phone (678) 777-0585

Other names 1

  • Rae Traina Other name

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
I20210504002233 GA Practitioner - Physician Assistant 4183033129 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9816GAMDOrthodontics and Dentofacial Orthopedic Dentist

Organizations & group practices 4

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": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841855905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 LINDBERGH DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243731",
            "telephone_number": "678-777-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 LINDBERGH DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243731",
            "telephone_number": "678-777-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINA",
        "first_name": "ALISSA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAE",
            "last_name": "TRAINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.