Individual provider Active NPI

Jade Norman, PA

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1134017270
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2199 College Ave NE
Atlanta, GA 30317-1334
Phone
(770) 809-1100
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2199 College Ave NE
Atlanta, GA 30317-1334

Mailing address

210 Peters Glenn CT
Simpsonville, SC 29681-8312
Phone (404) 643-4257

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
I20251215001242 GA Practitioner - Physician Assistant 9234623455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Meharry Medical College School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

12700 Town Ctr Dr
Suite 102
Covington, GA 30014-3676
Phone (678) 712-8198

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regen-X Wound Care, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

13093 Brown Bridge Rd
Covington, GA 30016
Phone (678) 800-1591

12700 Town Center Dr
Ste 102
Covington, GA 30014
Phone (678) 712-8198

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

416 Gordon Ave
Ste 114
Thomasville, GA 31792
Phone (844) 496-8634

15125 US Highway 19 S
Thomasville, GA 31792
Phone (229) 563-5205

Organizations & group practices 2

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1134017270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PETERS GLENN CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818312",
            "telephone_number": "404-643-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 COLLEGE AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171334",
            "telephone_number": "770-809-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "JADE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.