Jonae Perrin Richardson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8164 Issued in GA

Practice address

1498 Klondike Rd SW Ste 106
Conyers, GA 30094-5169

Phone

(770) 761-7260

NPI assigned

Oct 25, 2016

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• NSH Cancer Institute Professional Services a LLC

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1215288378
  Medicare reassignment Care Compare group NPD
• Four Corners Primary Care Centers Inc

  dba Four Corners @ VPH

  • Federally Qualified Health Center (FQHC)
  • Norcross, GA
  • NPI 1265624548
  Medicare reassignment NPD
• Four Corners Primary Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrenceville, GA
  • NPI 1285325282
  NPD
• NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1750631792
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1538611686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 KLONDIKE RD SW STE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945169",
            "telephone_number": "770-761-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 KLONDIKE RD SW STE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945169",
            "telephone_number": "770-761-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Lawrenceville Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300333240",
            "country_code": "US",
            "telephone_number": "404-321-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JONAE",
        "middle_name": "PERRIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rice, LCSW
• Nicklaus Trent Rice, M.D.
• Venesa Richards-Johnson, APRN
• Brittany Richardson
• Bruce Walter Richardson
• Renee Marie Richardson, PT,MPT
• Cheryl Hermione Richmond, M.D.
• Tamesha Rigg-Haughton, APRN
• Cheryl L Riley, IBCLC
• Jessica Rios-Jones, ED.D

• Medical Physician Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.