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

Active since February 17, 2026PECOS Enrolled
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: November 01, 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 is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and 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
Phone(770) 486-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Antoniolli Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335608579
PECOS Enrollment IDI20260827002374
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Antoniolli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Medical Care Corporation
26 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NWAMAKA DIKE MD
Family Medicine
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269
Fayette County (770) 486-5000
DR. ASHISH RAJENDRA PATEL M.D
Family Medicine
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269
Fayette County (770) 486-5000
THOMASINA L. BAILEY NP
Nurse Practitioner (Family)
1975 HIGHWAY 54 W STE 150
PEACHTREE CITY, GA 30269
Fayette County (770) 486-5000

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.

Is Alexis Antoniolli enrolled in Medicare?

Yes. Alexis Antoniolli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexis Antoniolli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Antoniolli reassigns Medicare benefits to Piedmont Medical Care Corporation (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Antoniolli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alexis Antoniolli affiliated with any hospitals?

According to CMS data, Alexis Antoniolli is affiliated with Piedmont Hospital.

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 4 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.