ALEXIS GAMBLE
NPI 1093446403
Physician Assistant - Medical in Douglasville, GA
About Alexis Gamble NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS GAMBLE (NPI 1093446403) is an individual medical provider in Douglasville, Georgia, licensed in Georgia (12806) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexis Gamble is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gamble's NPI number?
The NPI number for Alexis Gamble is 1093446403. It was assigned to this individual provider in the NPPES registry on June 17, 2022.
Where is Alexis Gamble located?
Alexis Gamble practices at 9390 The Landing Dr, Douglasville, GA 30135. The listed phone number is (770) 947-1112.
What is Alexis Gamble's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Alexis Gamble enrolled in Medicare?
Yes. Alexis Gamble is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Alexis Gamble was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Alexis Gamble · NPI 1093446403
Medical physician in Douglasville, Georgia. Individual provider, active in the CMS NPPES registry since June 17, 2022.
## Identity
- **NPI:** 1093446403 (Entity type: Individual)
- **Enumerated:** June 17, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 12806 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9390 THE LANDING DR, Douglasville, GA 30135-7180
- **Phone:** (770) 947-1112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Morehouse School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** January 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1093446403) · Data from the CMS NPPES public registry.