Individual provider Active NPI

Yessica Hernandez, PA-C

  • Physician Assistant
  • Norcross, GA
National Provider Identifier
1366673121
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10090 Issued in GA
Practice address
1235 Indian Trail Rd Ste 200
Norcross, GA 30093-5553
Phone
(770) 931-1333
Fax
(770) 931-3111
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53290 CA
Physician Assistant 363A00000X PA9104693 FL
Medical Physician Assistant 363AM0700X PA9104693 FL
Physician Assistant 363A00000X 10090 GA Primary

Addresses

Primary practice location

1235 Indian Trail Rd Ste 200
Norcross, GA 30093-5553

Mailing address

1235 Indian Trail Rd Ste 200
Norcross, GA 30093-5553
Phone (770) 931-1333

Other practice location 1

5655 Atlanta Hwy Ste A
Alpharetta, GA 30004-5208
Phone (770) 343-6364

Other identifiers 2

IdentifierTypeStateIssuer
PA9104693OtherFLLICENSE
10090OtherGALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yhernandez624867@directwellstar.org

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
I20220304001121 GA Practitioner - Physician Assistant 0941468573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

12460 Crabapple Rd
Suite 901
Alpharetta, GA 30004-6392
Phone (678) 762-0574

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338

2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

5655 Atlanta Hwy
Alpharetta, GA 30004-5208
Phone (770) 691-0819

Hospital & facility affiliations

  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53290CAMDMarriage & Family Therapist
10090GAMDPhysical Therapist
PA9104693FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Mar 21, 2022 Accepting new patients

Locations

5655 Highway 9 N
Ste A
Alpharetta, GA 30004
Phone (770) 343-6364

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • Direct secure messaging: yessica.hernandez@ora.ikm.direct-ci.com
  • Direct secure messaging: yhernandez624867@directwellstar.org
  • Direct secure messaging: yhernandez92880@direct.emory.org

Organizations & group practices 4

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 5

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1366673121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL RD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935553",
            "telephone_number": "770-931-1333",
            "fax_number": "770-931-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL RD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935553",
            "telephone_number": "770-931-1333",
            "fax_number": "770-931-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 Atlanta Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300045208",
            "country_code": "US",
            "telephone_number": "770-343-6364",
            "fax_number": "770-343-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YESSICA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53290",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104693",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104693",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9104693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10090",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yhernandez624867@directwellstar.org",
            "affiliation": "N",
            "address_1": "5655 Atlanta Hwy Ste A",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300045208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.