Alexis Byrd Fountain, FNP-C - Medicare Nurse Practitioner in Vidalia, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Vidalia
Alexis Byrd Fountain, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Vidalia, Georgia. Her current practice location is 122 Alice Coleman Drive, Vidalia, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 805-2273.

Alexis Byrd Fountain is licensed to practice in Georgia (license number RN274392) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821724386.

Contact Information

Alexis Byrd Fountain, FNP-C
122 Alice Coleman Drive,
Vidalia, GA 30474
(912) 805-2273
Not Available

Map and Direction




Provider's Profile

Full NameAlexis Byrd Fountain
GenderFemale
SpecialityNurse Practitioner - Family
Location122 Alice Coleman Drive, Vidalia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821724386
  • Provider Enumeration Date: 07/27/2022
  • Last Update Date: 07/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496121774
  • Enrollment ID: I20221012002264

Medical Identifiers

Medical identifiers for Alexis Byrd Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821724386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN274392 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexis Byrd Fountain allows following entities to bill medicare on her behalf.
Entity NameVidalia Immediate & Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942974167
PECOS PAC ID: 8820489941
Enrollment ID: O20211229000187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Byrd Fountain is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexis Byrd Fountain, FNP-C
297 R T Lane,
Tarrytown, GA 30470

Ph: () -		Alexis Byrd Fountain, FNP-C
122 Alice Coleman Drive,
Vidalia, GA 30474

Ph: (912) 805-2273

Reviews and Comments


Nurse Practitioner Nurses in Vidalia, GA

Dana M Avist, APRN, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Adams St, Vidalia, GA 30474
Phone: 912-537-1772    
Mrs. Kimberly Thigpen Evans, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 621 East First Street, Unit B, Vidalia, GA 30474
Phone: 478-274-8739    
Jessi Erica Woods,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    
Mrs. Morgan Royal Comstock, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3193 E 1st St, Vidalia, GA 30474
Phone: 912-537-8588    
Santoria Shamika Felton, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    
Christy L Hartley, CNM/ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1707 Meadows Ln Ste A, Vidalia, GA 30474
Phone: 912-537-1014    Fax: 912-538-0979
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474
Phone: 912-245-5491    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.