Active NPI
Amelia Nocon, PA-C
- Physician Assistant
- Duluth, GA
National Provider Identifier
1437805595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10830
- Practice address
- 11459 Johns Creek Pkwy Ste 250
Duluth, GA 30097-3517 - Phone
- (770) 497-1555
- NPI assigned
- Feb 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10830 | GA | Primary |
Addresses
Primary practice location
11459 Johns Creek Pkwy Ste 250
Duluth, GA 30097-3517
Mailing address
1003 Chastain Park CT NE
Atlanta, GA 30342-3246
Phone (404) 312-8681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10830 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Chattahoochee Family Physicians, LLC | Current | Accepting new patients |
Locations
11459 Johns Creek Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 497-1555
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.
-
- Family Medicine Physician
- Johns Creek, GA
- NPI 1114041928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1437805595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 CHASTAIN PARK CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423246",
"telephone_number": "404-312-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11459 JOHNS CREEK PKWY STE 250",
"city": "DULUTH",
"state": "GA",
"postal_code": "300973517",
"telephone_number": "770-497-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOCON",
"first_name": "AMELIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.