Individual provider Active NPI

Christina Small, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1447997697
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11410 Issued in GA
Practice address
677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone
(470) 444-3143
Fax
(470) 467-7469
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11410 GA Primary

Addresses

Primary practice location

677 Cascade Ave SW
Atlanta, GA 30310-2404

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

1100 Cleveland Ave
East Point, GA 30344-3602
Phone (404) 688-1350

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
I20230509002594 GA Practitioner - Physician Assistant 8022474436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC CurrentSince Apr 13, 2026 Accepting new patients
Southside Medical Center, Inc. CurrentSince Dec 30, 2022 Accepting new patients
Southside Medical Center, Inc CurrentSince Dec 30, 2022 Accepting new patients
Anwan Wellness Medical Center PC Past Accepting new patients

Locations

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

1100 Cleveland Ave
East Point, GA 30344
Phone (404) 564-7063

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGADD
  • FHIR API: https://api.platform.athenahealth.com/18041/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1447997697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CASCADE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102404",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303443602",
            "country_code": "US",
            "telephone_number": "404-688-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.