NPI 1174338164 · live from the CMS NPI Registry
Lane Elizabeth Alexander, PA-C
Physician Assistant, Medical in Gainesville, GA. National Provider Identifier 1174338164, active.
NPI record
| NPI | 1174338164 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 |
| Practice phone | 678-207-4373 |
| Mailing address | Po Box 658, Gainesville, GA 30503 |
| Enumerated | February 8, 2025 |
| Last updated | July 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 13131 (GA) |
| Physician Assistant, Medical primary | 363AM0700X | 13131 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.