Active NPI
Ayanna Crowder
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1639901606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14094
- Practice address
- 1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1063 - Phone
- (404) 727-7825
- NPI assigned
- Aug 17, 2024
- Last updated
- Jul 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14094 | GA | Primary |
Addresses
Primary practice location
1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1063
Mailing address
1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1063
Phone (404) 727-7825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1639901606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 CLIFTON RD NE STE 280",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221063",
"telephone_number": "404-727-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 CLIFTON RD NE STE 280",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221063",
"telephone_number": "404-727-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "AYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14094",
"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 Jul 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.