Jessica Katherine Vernon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10526 Issued in GA

Practice address

1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538

Phone

(770) 461-3774

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
• Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvernon876144@direct.emory.org

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.

• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Lagrange, GA
  • NPI 1285912600
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1295748531
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
  • NPI 1306472063
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1346403854
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Jonesboro, GA
  • NPI 1386165504
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1811765902
  Care Compare group
• The Emory Clinic Inc.

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1023359627
  Care Compare group
• The Emory Clinic Inc.

  • Ambulatory Surgical Clinic/Center
  • Tucker, GA
  • NPI 1952098667
  Care Compare group

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

• Crawford Long Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1144203563

  Hospital

  Care Compare affiliation
• Emory University

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1588640692

  Hospital

  Care Compare affiliation
• Emory University

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1770560294

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1104597210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HIGHVIEW TRCE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152384",
            "telephone_number": "678-471-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W STE 201",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144538",
            "telephone_number": "770-461-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "JESSICA",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruthell Vaughner, P.T.A.
• Vincent Vellucci, DC
• Sridevi Venugopal
• Verbal Concepts
• Rick James Verdin, D.D.S
• Jade Vest
• Veterans Net Transport LLC
• Village Podiatry Group LLC
• Michael Phillip Fermin Violago, M.D.
• Virologix LLC

• All providers in Fayetteville, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.