Healthcare Provider Details

I. General information

NPI: 1902486806
Provider Name (Legal Business Name): ALEXANDRIA ATKINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD
COOKEVILLE TN
38501-4294
US

IV. Provider business mailing address

PO BOX 879
DUNLAP TN
37327-0879
US

V. Phone/Fax

Practice location:
  • Phone: 423-826-8220
  • Fax:
Mailing address:
  • Phone: 423-826-8220
  • Fax: 423-949-5100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number70755
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: