DR. SUSAN PATRICIA ALEXANDER DMD
NPI 1104084235
Dentist - Periodontics in Marietta, GA

Active since May 27, 2008PECOS Enrolled
3020 ROSWELL RD STE 130, MARIETTA, GA 30062(770) 509-2310(770) 993-5987 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Patricia Alexander Dmd NPPES

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

DR. SUSAN PATRICIA ALEXANDER DMD (NPI 1104084235) is an individual periodontics provider in Marietta, Georgia, licensed in Georgia (010295) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104084235
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SUSAN PATRICIA ALEXANDERCredential: DMD
Location Address3020 ROSWELL RD STE 130Marietta, GA 30062-4987
Mailing Address3020 Roswell Rd Ste 130Marietta, GA 30062-4987 · (770) 509-2310 · Fax (770) 993-5987
Fax(770) 993-5987
Sole ProprietorYes
Enumeration DateMay 27, 2008
NPI 1104084235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in GA · 010295
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3020 ROSWELL RD STE 130, Marietta, GA 30062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Patricia Alexander Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

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

Dentist (Periodontics)
3020 ROSWELL RD STE 130
MARIETTA, GA 30062

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 Susan Alexander's NPI number?

The NPI number for Susan Alexander is 1104084235. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Susan Alexander located?

Susan Alexander practices at 3020 Roswell Rd Ste 130, Marietta, GA 30062. The listed phone number is (770) 509-2310.

What is Susan Alexander's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Susan Alexander enrolled in Medicare?

Yes. Susan Alexander is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Alexander was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.