NPIMap

Individual provider Active NPI

Cody Weldon Howell, PA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1104323476
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8825 Issued in GA
Practice address
303 Parkway Dr NE # 404
Atlanta, GA 30312-1212
Phone
(404) 265-4421
NPI assigned
Apr 12, 2018
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 8825 GA Primary

Addresses

Primary practice location

303 Parkway Dr NE # 404
Atlanta, GA 30312-1212

Mailing address

118 Southshore Dr
Eatonton, GA 31024-6822
Phone (770) 362-6516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180919001218 GA Practitioner - Physician Assistant 3274884960 Reassigns benefits to 7 organizations
I20240618004537 TX Practitioner - Physician Assistant 3274884960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Houston Orthopedic Surgery and Sports Medicine, P.C.Group PAC ID 5092703835, 19 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

3051 Watson Blvd
Warner Robins, GA 31093-8556

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8825GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Houston Orthopedic Surgery & Sports Medicine, P.C. CurrentSince Jan 13, 2025 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Jul 1, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 8, 2024 Accepting new patients
Health Services of Central Georgia, Inc Past Accepting new patients

Locations

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563

3051 Watson Blvd
Ste 400
Warner Robins, GA 31093
Phone (478) 953-4563

3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJDIDD/Endpoint/BJDIDD

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1104323476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SOUTHSHORE DR",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246822",
            "telephone_number": "770-362-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE # 404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "CODY",
        "middle_name": "WELDON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.