Active NPI
Joy Becker, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1396863874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006127
- Practice address
- 1875 Century Blvd NE Ste 150
Atlanta, GA 30345-3323 - Phone
- (404) 633-4595
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10005174 | WA | |
| Physician Assistant | 363A00000X | 006127 | GA | Primary |
| Physician Assistant | 363A00000X | 611 | MT |
Addresses
Primary practice location
1875 Century Blvd NE Ste 150
Atlanta, GA 30345-3323
Mailing address
745 Dalerose Ave
Decatur, GA 30030-3935
Phone (404) 428-1935
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807001554 | GA | Order and Referring Only - Physician Assistant | 7810093218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006127 | GA | MD | Physician Assistant |
| PA10005174 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Lake Community Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Quincy, WA
- NPI 1730756644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1396863874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 DALEROSE AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303935",
"telephone_number": "404-428-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 CENTURY BLVD NE STE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453323",
"telephone_number": "404-633-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JOY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10005174",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006127",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.