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DR. EDSON ALEXIS MD
NPI 1215686043
Student in an Organized Health Care Education/Training Program in Acworth, GA

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
3501 BAKER RD NW STE 100A, ACWORTH, GA 30101(470) 267-0620(770) 999-2746 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 6, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About Dr. Edson Alexis Md NPPES

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

DR. EDSON ALEXIS MD (NPI 1215686043) is an individual student in an organized health care education/training program in Acworth, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215686043
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDSON ALEXISCredential: MD
Location Address3501 BAKER RD NW STE 100AAcworth, GA 30101-3706
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (470) 267-0620 · Fax (770) 999-2746
Phone(470) 267-0620
Fax(770) 999-2746
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 21, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1215686043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3501 BAKER RD NW STE 100A, Acworth, GA 30101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Edson Alexis Md 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.

PECOS PAC ID7113307976
PECOS Enrollment IDI20250815002061
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.

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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 Edson Alexis's NPI number?

The NPI number for Edson Alexis is 1215686043. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Edson Alexis located?

Edson Alexis practices at 3501 Baker Rd NW Ste 100A, Acworth, GA 30101. The listed phone number is (470) 267-0620.

What is Edson Alexis's specialty?

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

Is Edson Alexis enrolled in Medicare?

Yes. Edson Alexis 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.

What insurance does Edson Alexis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Edson Alexis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edson Alexis affiliated with any hospitals?

According to CMS data, Edson Alexis is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Edson Alexis was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.