NPI 1295406312 · live from the CMS NPI Registry
Terri Marie Alexander, PAC
Physician Assistant in Fayetteville, GA. National Provider Identifier 1295406312, active.
NPI record
| NPI | 1295406312 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1279 Highway 54 W Ste 100, Fayetteville, GA 30214 |
| Practice phone | 770-719-5710 |
| Mailing address | 1223 Herty Dr, Marietta, GA 30062 |
| Enumerated | September 28, 2021 |
| Last updated | September 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 10673 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.