Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Bautista, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609636869

Alyssa Bautista, MD is a Student in an Organized Health Care Education/Training Program in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Hemlock Street Ln # 165
Macon, GA 31201-2168
Phone: (478) 633-1634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 16002 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609636869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address777 Hemlock Street Ln # 165, Macon, GA 31201-2168

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