Individual provider Active NPI

Emma Romigh, PA

  • Physician Assistant
  • Fayetteville, GA
National Provider Identifier
1093694572
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1234573 Issued in GA
Practice address
1336 Hwy 54W
BLDG. 100, Suite 100
Fayetteville, GA 30214
Phone
(770) 460-9777
Fax
(678) 610-3462
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 1234573 GA Primary

Addresses

Primary practice location

1336 Hwy 54W
BLDG. 100, Suite 100
Fayetteville, GA 30214

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

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
I20251009000466 GA Practitioner - Physician Assistant 3971000530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

5730 Glenridge Dr
Suite 200
Atlanta, GA 30328-5579
Phone (404) 256-1844

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1234573GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology Piedmont, LLC CurrentSince Sep 22, 2025 Accepting new patients
Georgia Urology PA CurrentSince Sep 22, 2025 Accepting new patients
Georgia Urology Piedmont, LLC CurrentSince Sep 22, 2025 Accepting new patients
Georgia Urology, PA CurrentSince Sep 22, 2025 Accepting new patients

Locations

1301 Sigman Rd NE
Ste 250A
Conyers, GA 30012
Phone (770) 760-9900

1336 Highway 54 W
Bldg 100
Fayetteville, GA 30214
Phone (678) 610-3395

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: emma.romigh.p1@direct.gupa.nextgenshare.com

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": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1093694572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HWY 54W",
            "address_2": "BLDG. 100, SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-9777",
            "fax_number": "678-610-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMIGH",
        "first_name": "EMMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1234573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.