Individual provider · NPI-1

Alexis Antoniolli, NP

Nurse Practitioner · Peachtree City, GA

NPI number1053264408
StatusActive
Last updated in NPPESJun 11, 2026

Details

NPI
1053264408
Entity type
Individual (NPI-1)
Name
Alexis Antoniolli
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2026
Certification date
Jun 11, 2026
Last updated
Jun 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN-NP210580GAYes
163W00000X Registered NurseRN210580GA

Practice location

1975 Highway 54 W Ste 150
Peachtree City, GA 30269-4795

Phone 770-486-5000

Mailing address

125 Cornwall Brg
Peachtree Cty, GA 30269-1380

Phone 404-664-6340

Other practice locations

125 Cornwall Brg
Peachtree Cty, GA 30269-1380

Phone 404-664-6340

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