Active NPI
Alesia Rochale Traeye Nix, DNP, FNP-C
- Family Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1891095451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP001077
- Practice address
- 3841 Coventry Dr
Valdosta, GA 31605-7968 - Phone
- (352) 246-5917
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Family Nurse Practitioner | 363LF0000X | APRN9336508 | FL | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP001077 | GA | Primary |
Addresses
Primary practice location
3841 Coventry Dr
Valdosta, GA 31605-7968
Mailing address
3841 Coventry Dr
Valdosta, GA 31605-7968
Phone (352) 246-5917
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9336508 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Behavioral Health Crisis Center | Past | Accepting new patients |
Locations
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
5410 Maryland Way
Ste 400
Brentwood, TN 37027
Interoperability endpoints
- alesia.nix.1@22854.direct.athenahealth.com
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valdosta, GA
- NPI 1518396548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1891095451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 COVENTRY DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057968",
"telephone_number": "352-246-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 COVENTRY DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057968",
"telephone_number": "352-246-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "ALESIA",
"middle_name": "ROCHALE TRAEYE",
"name_prefix": "Miss",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9336508",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP001077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.