Active NPI
Jennifer Black, NP
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP236581
- Practice address
- 1800 Howell Mill Rd NW Ste 500
Atlanta, GA 30318-2594 - Phone
- (404) 367-3350
- NPI assigned
- Mar 15, 2021
- Last updated
- Oct 12, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP236581 | GA | Primary |
Addresses
Primary practice location
1800 Howell Mill Rd NW Ste 500
Atlanta, GA 30318-2594
Mailing address
3024 Abbotts Oak Way
Duluth, GA 30097-2190
Phone (770) 547-5889
Other practice location 1
989 Lawrenceville Hwy
Lawrenceville, GA 30046-4702
Phone (770) 962-1616
Other practice location 2
5271 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-5922
Phone (770) 962-1616
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4850 Sugarloaf Pkwy
Suite 501
Lawrenceville, GA 30044-2864
Phone (770) 962-1616
5271 Lawrenceville Hwy NW
Suite a
Lilburn, GA 30047-5922
Phone (770) 962-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn R Parris, MD PC | Current | Accepting new patients |
Locations
4850 Sugarloaf Pkwy
Ste 501
Lawrenceville, GA 30044
Phone (770) 962-1616
989 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 962-1616
5271 Lawrenceville Hwy NW
#A
Lilburn, GA 30047
Phone (770) 962-1616
1305 Hembree Rd
Ste 101
Roswell, GA 30076
Phone (678) 867-0000
5555 Ptree Dunwoody Rd NE
Ste 293
Sandy Springs, GA 30342
Phone (404) 252-0230
Interoperability endpoints
- j.black@parrisandassociates.azalea.phimailbox.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1508441239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 ABBOTTS OAK WAY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300972190",
"telephone_number": "770-547-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182594",
"telephone_number": "404-367-3350"
}
],
"practiceLocations": [
{
"address_1": "989 Lawrenceville Hwy",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300464702",
"country_code": "US",
"telephone_number": "770-962-1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5271 Lawrenceville Hwy NW Ste A",
"address_purpose": "LOCATION",
"city": "Lilburn",
"state": "GA",
"postal_code": "300475922",
"country_code": "US",
"telephone_number": "770-962-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP236581",
"primary": true
}
],
"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 Oct 12, 2026; 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.