Jessica Quyen Luong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

731 S 8TH St
Griffin, GA 30224-4818

Phone

(770) 460-8988

Fax

(770) 460-0727

NPI assigned

Aug 24, 2023

Sex

Female

Sole proprietor

Yes

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James T Sandwich MD PCGroup PAC ID 8527059385, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• James T. Sandwich, M.D., P.C.

  dba Fayette Area Dermatology

  • Specialist
  • Fayetteville, GA
  • NPI 1073624763
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1609650118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRANDIFLORA DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538010",
            "telephone_number": "318-828-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244818",
            "telephone_number": "770-460-8988",
            "fax_number": "770-460-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Lanier Ave W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302141502",
            "country_code": "US",
            "telephone_number": "770-460-8988",
            "fax_number": "770-460-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "JESSICA",
        "middle_name": "QUYEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Alicia Locke, D.C.
• Abdullah Hafeez Khan Lodhi, M.D.
• Enid Ianthe Lofters-Jones, MD
• Skylar Elizabeth Lowe, DC
• John Tuan Lu, M.D.
• M.G.R. Homecare, Inc
• Macon Orthopaedic & Hand Center PA (OrthoGeorgia)
• Anita Gurley Maddox
• Hari Gopal Madichetty, MD, FCCP, D-ABSM
• Kimberly Bryant Madison

• Physician Assistant in Griffin, GA
• Providers in Griffin, GA by specialty
• Physician Assistant in Georgia

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

Verify at the official NPI Registry.