Orthoxpress of Georgia

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ORTHOXPRESS OF GEORGIA

Practice address

30 E Crossville Rd Ste 180
Roswell, GA 30075-5909

Phone

(470) 233-7630

Fax

(470) 233-7631

NPI assigned

Oct 15, 2025

Organization subpart

Yes

Parent organization

ORTHOXPRESS OF GEORGIAAs reported in NPPES

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

Authorized official

Name

Jennifer C Bullock

Title

President

Phone

(662) 534-2298

Specialties & licenses 3

Addresses

Other names 1

• OrthoXpress of Roswell Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthoxpress of Georgia

  • Physician Assistant
  • Acworth, GA
  • NPI 1093481251

  0042731291

  Same PAC ID
• Orthoxpress of Georgia

  • Physician Assistant
  • Marietta, GA
  • NPI 1144107038

  0042731291

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Orthoxpress of Georgia3 organizations share this tax ID, including this one

Part of

Orthoxpress of Georgia

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Orthoxpress of Georgia

  • Physician Assistant
  • Marietta, GA
  • NPI 1144107038
  NPD tax ID
• Orthoxpress of Georgia

  • Physician Assistant
  • Fayetteville, GA
  • NPI 1427924554
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthoxpress of Georgia

  • Physician Assistant
  • Acworth, GA
  • NPI 1093481251
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Elizabeth Hepler

  • Physician Assistant
  • Marietta, GA
  • NPI 1982234688
  NPD
• Ashlei Alig Layton, PAC

  • Physician Assistant
  • Roswell, GA
  • NPI 1982088035
  NPD
• Emily E Ross, PA-C

  • Physician Assistant
  • Acworth, GA
  • NPI 1942891239
  NPD
• David Bradley Robbins, PA-C, ATC

  • Surgical Physician Assistant
  • New Albany, MS
  • NPI 1144293655

  Surgical

  NPD

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1124994264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E CROSSVILLE RD STE 180",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755909",
            "telephone_number": "470-233-7630",
            "fax_number": "470-233-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOXPRESS OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOXPRESS OF GEORGIA",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-534-2298"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoXpress of Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Roswell, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.