Jerrell Parker Atwater, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123672 Issued in GA

Practice address

1000 Marietta St NW Ste 126
Atlanta, GA 30318-0524

Phone

(404) 549-5570

NPI assigned

May 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1437908555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 FAIRMONT AVE NW UNIT 6061",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185196",
            "telephone_number": "919-928-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARIETTA ST NW STE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180524",
            "telephone_number": "404-549-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWATER",
        "first_name": "JERRELL",
        "middle_name": "PARKER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rekha N Attigere, MD
• Taraq Assed Attumi, MD
• Mark Henry Atuan, DMD
• Atvl LLC
• Aisha Atwater, MSCR
• Katelyn E Atwell, MS CHES
• Atwells Wellness Center
• Nicholas Au Yong, MD
• Michelle Au, M.D.
• Elaina Kelsey Aubrey, APRN

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.