ALEXIS ANTONIOLLI NP
NPI 1053264408
Nurse Practitioner in Peachtree City, GA

Active since February 17, 2026
1975 HIGHWAY 54 W STE 150, PEACHTREE CITY, GA 30269(770) 486-5000 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexis Antoniolli Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS ANTONIOLLI NP (NPI 1053264408) is an individual nurse practitioner in Peachtree City, Georgia, licensed in Georgia (APRN-NP210580) and active in the NPI registry since February 2026. She maintains a secondary practice location in Peachtree Cty.

NPPES Registry Identity

NPI1053264408
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALEXIS ANTONIOLLICredential: NP
Location Address1975 HIGHWAY 54 W STE 150Peachtree City, GA 30269-4795
Mailing Address125 Cornwall BrgPeachtree Cty, GA 30269-1380 · (404) 664-6340
Sole ProprietorNo
Enumeration DateFebruary 17, 2026
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1053264408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · APRN-NP210580
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN210580 (GA)
1975 HIGHWAY 54 W STE 150, Peachtree City, GA 30269

Secondary Practice Location 1

Location 1125 Cornwall BrgPeachtree Cty, GA 30269-1380 · Phone (404) 664-6340

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269
Family Medicine
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269
Nurse Practitioner (Family)
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Antoniolli's NPI number?

The NPI number for Alexis Antoniolli is 1053264408. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Alexis Antoniolli located?

Alexis Antoniolli practices at 1975 Highway 54 W Ste 150, Peachtree City, GA 30269. The listed phone number is (770) 486-5000.

What is Alexis Antoniolli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Alexis Antoniolli was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.