Alexandria Port
Alexandria Port is a Nurse Practitioner in Newnan, Georgia. Qualified in 2025, 1 year ago. Practices with Magnolia ENT, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 1
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
1595 GA-34 ENewnan, GA 30265
Phone: (470) 489-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence NP286755 (GA) |
|---|
Record details
| NPI number | 1447114905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2025 |
| Last updated in NPPES | March 30, 2026 |
| Certification date | March 30, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Magnolia Ent, Llc — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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