Individual provider Active NPI

Jennifer Black, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1508441239
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP236581 Issued in GA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003673 GA Practitioner - Nurse Practitioner 9335549088 Reassigns benefits to 1 organization

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
Glenn R Parris, MD PCGroup PAC ID 3577746130, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Glenn R Parris, MD PC CurrentSince Mar 1, 2025 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.