1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ALEXA ROYAL WALL
NPI 1205708591
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since September 18, 2025
550 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-4790 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexa Royal Wall NPPES

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

ALEXA ROYAL WALL (NPI 1205708591) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1205708591
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXA ROYAL WALL
Location Address550 MEDICAL CENTER BLVDLawrenceville, GA 30046-7688
Mailing Address1540 Highway 82Winder, GA 30680-3306
Phone(678) 312-4790
Sole ProprietorYes
Enumeration DateSeptember 18, 2025
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1205708591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN315141 (GA)
550 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

MACKENZIE BROWN OLIVER
Nurse Practitioner (Neonatal, Critical Care)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-1000
IMA S THOMPSON MD
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 803-3033
KARISSA TERRY BETTEN NP
Nurse Practitioner (Neonatal)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4790
BETTE FORD MD
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 921-4492
ANSLEY KRISTEN CLEMENTS
Registered Nurse
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4790
DAWN CANNOVA NNP-BC
Nurse Practitioner (Neonatal)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 921-4492
MRS. HEATHER LEIGH FARHY NNP-BC
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3970
BREANNE MASSUNG BAUTISTA NNP-BC
Nurse Practitioner (Neonatal)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (378) 312-3970

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 Alexa Wall's NPI number?

The NPI number for Alexa Wall is 1205708591. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Alexa Wall located?

Alexa Wall practices at 550 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-4790.

What is Alexa Wall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alexa Wall was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.