GRETTA GOINES ALEXANDER FNP-BC
NPI 1902622202
Nurse Practitioner - Family in Stockbridge, GA

Active since December 02, 2024PECOS EnrolledAccepts Medicare Assignment
175 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281(800) 410-4663 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gretta Goines Alexander Fnp-bc NPPES

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

GRETTA GOINES ALEXANDER FNP-BC (NPI 1902622202) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (RN176479) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902622202
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRETTA GOINES ALEXANDERCredential: FNP-BC
Location Address175 COUNTRY CLUB DRStockbridge, GA 30281-9054
Mailing Address1640 Fuma Leaf WayMcdonough, GA 30253-1948 · (229) 520-1347
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 2, 2024
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1902622202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN176479
Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License RN176479 (GA)
175 COUNTRY CLUB DR, Stockbridge, GA 30281

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

Gretta Goines Alexander Fnp-bc 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 ID4789922311
PECOS Enrollment IDI20250210002684
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 30281 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 9

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

Internal Medicine
175 COUNTRY CLUB DR, SUITE 100 D
STOCKBRIDGE, GA 30281
Physician Assistant
175 COUNTRY CLUB DR, BLDG. 100 SUITE C
STOCKBRIDGE, GA 30281
Orthopaedic Surgery (Sports Medicine)
175 COUNTRY CLUB DR, BUILDING 100, SUITE E
STOCKBRIDGE, GA 30281
Counselor
175 COUNTRY CLUB DR, SUITE 200-E
STOCKBRIDGE, GA 30281
Orthopaedic Surgery (Sports Medicine)
175 COUNTRY CLUB DR, BLDG 100
STOCKBRIDGE, GA 30281
Orthopaedic Surgery
175 COUNTRY CLUB DR, BLDG 100 SUITE E
STOCKBRIDGE, GA 30281
Internal Medicine
175 COUNTRY CLUB DR, BLDG. 100, STE. C
STOCKBRIDGE, GA 30281
Internal Medicine
175 COUNTRY CLUB DR, BLDG 100D
STOCKBRIDGE, GA 30281

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 Gretta Alexander's NPI number?

The NPI number for Gretta Alexander is 1902622202. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Gretta Alexander located?

Gretta Alexander practices at 175 Country Club Dr, Stockbridge, GA 30281. The listed phone number is (800) 410-4663.

What is Gretta Alexander's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gretta Alexander enrolled in Medicare?

Yes. Gretta Alexander 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 Gretta Alexander was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.