MEDICARE: REBECCA G ALCOBA CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	RN228914	GA

General Provider Information

NPI Number	:	1578926374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA G ALCOBA CPNP-PC

Provider Business Mailing Address
First Line	:	4000 SHAKERAG HL
Second Line	:	SUITE 201
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4047
Country	:	US
Telephone Number	:	770-486-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	4120 FIVE FORKS TRICKUM RD SW STE 102
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-8975
Country	:	US
Telephone Number	:	770-923-6400
Fax Number	:	770-564-1697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	10/17/2025

Similar Medicare Providers

1053723676 — MS. ANDREA ROCHE GAYDEN ANP-BC
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW STE 105
LILBURN, GA
30047-8975

Practice Phone: 770-921-6900
Practice Fax:

1699132787 — JENNIE MATHEN NP-C
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW STE 105
LILBURN, GA
30047-8975

Practice Phone: 404-778-0421
Practice Fax:

1699055236 — DR. JONATHAN STEPHEN WOOD MD
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW STE 102
LILBURN, GA
30047-8975

Practice Phone: 770-923-6400
Practice Fax: 770-676-9876

1528469426 — GWINNETT PEDIATRIC PARTNERS, INC
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW , STE 102
LILBURN, GA
30047-8975

Practice Phone: 770-923-6400
Practice Fax: 770-564-1967

1326544255 — DR. CHRISTINE I TOLU-AJAYI MD
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW STE 104
LILBURN, GA
30047-8975

Practice Phone: 770-935-9546
Practice Fax:

1912530866 — REBECCA L BRIGOLA APNP
Practice Location Address:

4120 FIVE FORKS TRICKUM RD SW STE 102
LILBURN, GA
30047-8975

Practice Phone: 770-923-6400
Practice Fax:

Directions to “ REBECCA G ALCOBA CPNP-PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.