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

Miss. Alexandra Athena Vatzakas, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1417316472

Miss. Alexandra Athena Vatzakas, AGACNP-BC is a Nurse Practitioner in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Whitcher St NE Ste 160
Marietta, GA 30060-1155
Phone: (770) 422-1372
Fax: (770) 423-9651
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 241190 (GA)

Record details

NPI number1417316472
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 18, 2016
Last updated in NPPESAugust 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Marietta