Christina Agyepong
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1154054609 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1154054609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12616 (GA)
- Practice address
- 1935 Howell Mill Rd NW
Atlanta, GA 30318-2513 - Phone
- (404) 355-2000
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1935 Howell Mill Rd NW
Atlanta, GA 30318-2513
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260227001931 | GA | Practitioner - Physician Assistant | 5991286825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare of Atlanta P.C. | Family Medicine | Current |
Accepting new patients |
Locations
1935 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 355-2000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGEEBD
- christina.agyepong.1@21462.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12616 | GA | Yes |
Addresses
Primary practice location
1935 Howell Mill Rd NW
Atlanta, GA 30318-2513
Mailing address
2520 Windy Hill Rd SE Ste 301
Marietta, GA 30067-8653
Other providers in Atlanta, GA
- Maria Sophia Aguirre
- Veena Agusala
- Michael Agyei
- Angelina Agyemang
- Elfriede A Agyemang
- Stephen Agyepong
- Ahcc Inc
- Susan Ahearn
- Ahi Atlanta, LLC
- Latifah Ahmad
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.