Active NPI
Hayden Jagor Drake, PA-C
- Surgical Physician Assistant
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 7991
- Practice address
- 1557 Janmar Rd
Snellville, GA 30078-5686 - Phone
- (678) 344-8900
- Fax
- (678) 666-5201
- NPI assigned
- Jun 10, 2016
- 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 | 7991 | GA | |
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | 7991 | GA | Primary |
Addresses
Primary practice location
1557 Janmar Rd
Snellville, GA 30078-5686
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900
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 |
|---|---|---|---|---|
| I20160810002496 | GA | Practitioner - Physician Assistant | 3870887045 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Urology Institute of Georgia
Practice addresses (Care Compare)
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900
2711 Irvin Way
Decatur, GA 30030-5405
Phone (678) 344-8900
Hospital & facility affiliations
- Piedmont Eastside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 69.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7991 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute of Georgia PC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, PC | Current | Accepting new patients |
Locations
2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654
2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078
1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622
3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000
2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162
2711 Irvin Way
Ste 102
Decatur, GA 30030
10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956
501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583
1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579
11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156
11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973
11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156
1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156
1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280
1551 Janmar Rd
Snellville, GA 30078
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
Interoperability endpoints
- hayden.jagor@au.gadirect.net
Organizations & group practices 3
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.
-
- Urology Physician
- Atlanta, GA
- NPI 1457997686
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
Hospital & facility affiliations 1
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": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1457700403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785606",
"telephone_number": "678-344-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785686",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "HAYDEN",
"middle_name": "JAGOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "7991",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.