Individual provider Active NPI

Emma Carroll, PA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1306637087
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13235 Issued in GA
Practice address
5555 Peachtree Dunwoody Rd Ste 276
Atlanta, GA 30342-1710
Phone
(404) 255-8778
NPI assigned
May 13, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13235 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd Ste 276
Atlanta, GA 30342-1710

Mailing address

20049 Windalier Way
Roswell, GA 30076-1994
Phone (678) 756-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2025 through Dec 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nezhat Medical Center CurrentSince Dec 7, 2025 Accepting new patients
Endoscopy Laser Institute of Atlanta LLC PastSince May 18, 2025 Accepting new patients

Locations

5555 Peachtree Dunwoody Rd
Ste 276
Sandy Springs, GA 30342
Phone (404) 255-8778

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1306637087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20049 WINDALIER WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761994",
            "telephone_number": "678-756-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 276",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421710",
            "telephone_number": "404-255-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "EMMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.