Individual provider Active NPI

Christina Berry Knox, PA-C

  • Physician Assistant
  • Decatur, GA
National Provider Identifier
1043488877
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5251 Issued in GA
Practice address
200 E Ponce de Leon Ave
Decatur, GA 30030-3466
Phone
(404) 377-3436
NPI assigned
Feb 14, 2008
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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 5251 GA Primary

Addresses

Primary practice location

200 E Ponce de Leon Ave
Decatur, GA 30030-3466

Mailing address

200 E Ponce de Leon Ave
Decatur, GA 30030-3466
Phone (404) 377-3436

Other identifiers 1

IdentifierTypeStateIssuer
5251OtherGAGEORGIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5251GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Medical Primary Care Group LLC Current Accepting new patients
Emory Medical Group, LLC Past Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients

Locations

4153B Flat Shoals Pkwy
Ste 200
Decatur, GA 30034
Phone (404) 585-5049

487 Winn Way
Ste 202
Decatur, GA 30030
Phone (404) 294-0702

3550 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-7806

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1043488877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303466",
            "telephone_number": "404-377-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303466",
            "telephone_number": "404-377-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "CHRISTINA",
        "middle_name": "BERRY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "5251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.