Individual provider Active NPI

Johnathon Steven Nolen, PA-C

  • Medical Physician Assistant
  • Hoschton, GA
National Provider Identifier
1346630613
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7460 Issued in GA
Practice address
5848 Highway 124 W
Hoschton, GA 30548-5900
Phone
(706) 654-1439
NPI assigned
Jan 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 7460 GA Primary

Addresses

Primary practice location

5848 Highway 124 W
Hoschton, GA 30548-5900

Mailing address

5848 Highway 124 W
Hoschton, GA 30548-5900
Phone (404) 444-3074

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
I20150924002164 GA Practitioner - Physician Assistant 6406164433 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (866) 389-2727

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

5848 Hwy 124 W
Hoschton, GA 30548-5900
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7460GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Purifi Clinics Telemed, LLC Current Accepting new patients
Primary Care PLLC CurrentSince Oct 7, 2025 Accepting new patients
Minuteclinic LLC CurrentSince Oct 7, 2025 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Dec 29, 2025 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Dec 29, 2025 Accepting new patients
Atlanta Cardiac & Thoracic Surgery Past Accepting new patients

Locations

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

5848 Highway 124 W
Hoschton, GA 30548
Phone (706) 654-1439

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

960 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1346630613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 HIGHWAY 124 W",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305485900",
            "telephone_number": "404-444-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 HIGHWAY 124 W",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305485900",
            "telephone_number": "706-654-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "JOHNATHON",
        "middle_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoschton, GA

Sources for this page

Verify at the official NPI Registry.