Individual provider · Type 1 NPI

Alexis Antoniolli, NP

Nurse Practitioner · Peachtree City, GA

NPI number 1053264408 Active

Practice location

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

Mailing address

125 Cornwall Brg
Peachtree Cty, GA 30269-1380

Other practice locations

  • 125 Cornwall Brg, Peachtree Cty, GA 30269-1380 · (404) 664-6340

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP210580 (GA)
Registered Nurse 163W00000XRN210580 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1053264408

Alexis Antoniolli, NP's National Provider Identifier is 1053264408, issued on Feb 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peachtree City, GA. The record was last updated on Jun 11, 2026.