Active NPI
Chelsea E Fountain
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1730669821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA70122729
- Practice address
- Emory University
1440 Clifton Rd NE
Atlanta, GA 77640-2428 - Phone
- (678) 294-1084
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA70122729 | WA | Primary |
Addresses
Primary practice location
Emory University
1440 Clifton Rd NE
Atlanta, GA 77640-2428
Mailing address
1873 W Traverse Pkwy Ste E100
Lehi, UT 84048-5985
Phone (801) 215-9309
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1730669821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 W TRAVERSE PKWY STE E100",
"city": "LEHI",
"state": "UT",
"postal_code": "840485985",
"telephone_number": "801-215-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMORY UNIVERSITY",
"address_2": "1440 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "776402428",
"telephone_number": "678-294-1084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUNTAIN",
"first_name": "CHELSEA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA70122729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Fountain Family Inc (Homewatch CareGivers Atlanta East)
- Fountain Oaks Dental P.C.
- Fountain of Youth MD LLC
- Fountain of Youth MD, LLC
- Alison Virginia Fountain, M.D.
- Faith A Fountain
- Joshua Shane Fountain
- Linda M Fountain, MD
- Michael D Fountain, MA, NCC, LAPC
- Fountainview Center LP (The Fountainview Center for Alzheimer's Disease)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.