Individual provider Active NPI

Alexis Kofi Okoh, M.D

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1891229928
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
88380 Issued in GA
Practice address
2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769
Phone
(678) 644-2399
NPI assigned
Apr 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 88380 GA
Cardiovascular Disease Physician 207RC0000X 88380 GA Primary

Addresses

Primary practice location

2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769

Mailing address

2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769

Other identifiers 1

IdentifierTypeStateIssuer
1891229928MedicaidNJ

Other names 1

  • Alexis K Okoh 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803002390 GA Practitioner - Internal Medicine 0547664286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside CV Professional Services LLCGroup PAC ID 4880003771, 53 clinicians

Practice addresses (Care Compare)

2200 Medical Ctr Blvd
Suite 400
Lawrenceville, GA 30046-7769
Phone (770) 758-7482

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside CV Professional Services LLC Cardiovascular Disease CurrentSince Oct 1, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 1, 2021 Accepting new patients
Northside Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

2200 Medical Center Blvd
Ste 400
Lawrenceville, GA 30046
Phone (678) 272-3699

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 5

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 5

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": "1492214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1891229928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467769",
            "telephone_number": "678-644-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOH",
        "first_name": "ALEXIS",
        "middle_name": "KOFI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "88380",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "88380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891229928",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "OKOH",
            "middle_name": "K",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.