Individual provider Active NPI

Raynesha Franklin, PA-C

  • Physician Assistant
  • Dunwoody, GA
National Provider Identifier
1033840319
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12514 Issued in GA
Practice address
4505 Ashford Dunwoody Rd NE Ste 15B
Dunwoody, GA 30346-1516
Phone
(770) 800-3353
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12514 GA Primary

Addresses

Primary practice location

4505 Ashford Dunwoody Rd NE Ste 15B
Dunwoody, GA 30346-1516

Mailing address

6282 Denny LN SW
Mableton, GA 30126-4916
Phone (678) 656-3721

Other names 1

  • Raynesha Grant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008000583 GA Practitioner - Physician Assistant 6406387919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Medical Wellness Past Accepting new patients
Kennesaw Wellness PastSince Jul 23, 2023 Accepting new patients
Perimeter Medical Wellness Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1033840319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 DENNY LN SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301264916",
            "telephone_number": "678-656-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY RD NE STE 15B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "770-800-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "RAYNESHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYNESHA",
            "last_name": "GRANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.