Active NPI
Ewa Januszkiewicz, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1760030191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10876
- Practice address
- 275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740 - Phone
- (404) 350-0009
- NPI assigned
- Aug 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1191877 | GA | |
| Physician Assistant | 363A00000X | 10876 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Mailing address
2532 N Decatur Rd Apt 1213
Decatur, GA 30033-6142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10876 | GA | MD | General Practice Dentistry |
| 1191877 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1760030191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 N DECATUR RD APT 1213",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091740",
"telephone_number": "404-350-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUSZKIEWICZ",
"first_name": "EWA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "1191877",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10876",
"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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.