Individual provider Active NPI

Alexis M Atwater, MD

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1922328830
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69758 Issued in GA
Practice address
3527 Memorial Dr Unit W
Decatur, GA 30032-2731
Phone
(404) 573-4844
Fax
(415) 252-7176
NPI assigned
Jun 3, 2010
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69758 GA Primary
Family Medicine Physician 207Q00000X MT198056 PA
Family Medicine Physician 207Q00000X MD043228 DC
Family Medicine Physician 207Q00000X 73652 AZ
Family Medicine Physician 207Q00000X V2434 TX
Family Medicine Physician 207Q00000X MD61560549 WA
Family Medicine Physician 207Q00000X DR.0073324 CO
Family Medicine Physician 207Q00000X 2024-01861 NC

Addresses

Primary practice location

3527 Memorial Dr Unit W
Decatur, GA 30032-2731

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexis.atwater.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000119 GA Practitioner - Family Practice 9537303854 Reassigns benefits to 2 organizations
I20241024000054 NC Practitioner - Family Practice 9537303854

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5244 Memorial Dr
Suite 1101
Stone Mountain, GA 30083-3157
Phone (404) 905-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73652AZMDFamily Medicine Physician
MT198056PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Aug 9, 2013 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince May 12, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince May 12, 2025 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2056 Donald Lee Hollowell Pkwy NW
Ste 1
Atlanta, GA 30318
Phone (470) 397-5330

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

5244 Memorial Dr
Ste 1101
Stone Mountain, GA 30083
Phone (404) 905-0100

Interoperability endpoints

  • Direct secure messaging: alexis.atwater.1@29601.direct.athenahealth.com
  • Direct secure messaging: alexis.atwater@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1922328830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 MEMORIAL DR UNIT W",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322731",
            "telephone_number": "404-573-4844",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWATER",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69758",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT198056",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD043228",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "73652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2434",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61560549",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0073324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2024-01861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis.atwater.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6101 Blue Lagoon Dr Ste 200",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331263168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.