Individual provider Active NPI

Caitlin Lee Parsons, PA-C, ATC

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1184190209
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11172 Issued in GA
Practice address
5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767
Phone
(404) 255-1933
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003455 GA
Physician Assistant 363A00000X 11172 GA Primary

Addresses

Primary practice location

5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767

Mailing address

5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767

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
I20230807001232 GA Order and Referring Only - Physician Assistant 4981065992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AT003455GAMDAthletic Trainer
11172GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Orthopaedics of Atlanta P.C. CurrentSince Oct 9, 2022 Accepting new patients
Choa Multispecialty, LLC Past Accepting new patients
Choa Hospital Based, LLC Past Accepting new patients

Locations

3300 Old Milton Pkwy
Ste 310
Alpharetta, GA 30005

2270 Duluth Hwy
Ste 100
Duluth, GA 30097

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

5445 Meridian Mark Rd
Ste 250
Sandy Springs, GA 30342

5445 Meridian Mark Rd
Ste 340
Sandy Springs, GA 30342
Phone (404) 785-5650

Organizations & group practices 3

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1184190209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424767",
            "telephone_number": "404-255-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "CAITLIN",
        "middle_name": "LEE",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003455",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.