Active NPI
Zachary Cornett
- Medical Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 007211
- Practice address
- 4400 Peachtree Rd NE
Atlanta, GA 30319-2729 - Phone
- (404) 814-9199
- Fax
- (404) 869-8118
- NPI assigned
- May 22, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 007211 | GA | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
4400 Peachtree Rd NE
Atlanta, GA 30319-2729
Mailing address
4400 Peachtree Rd NE
Atlanta, GA 30319-2729
Phone (404) 814-9199
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10945 State Bridge Rd
Suite 501
Alpharetta, GA 30022-8163
Phone (404) 996-0194
13682 Hwy 92
Woodstock, GA 30188-4558
Phone (888) 250-5708
1882 Clairmont Rd
Decatur, GA 30033-3420
Phone (888) 250-5708
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2505 Dallas Hwy SW
Marietta, GA 30064-2659
Phone (678) 956-6230
2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100
2701 Holcomb Bridge Rd
Alpharetta, GA 30022-6812
Phone (770) 998-7611
3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (678) 500-8010
4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone (770) 507-7950
500 Nathan Dean Blvd
Suite 105
Dallas, GA 30157-4911
Phone (470) 624-6793
619 Rankin St NE
Atlanta, GA 30308-2920
Phone (888) 250-5708
882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034
921 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 660-5106
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007211 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
Interoperability endpoints
- zachary.cornett.1@30437.direct.athenahealth.com
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1760894943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 PEACHTREE RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192729",
"telephone_number": "404-814-9199",
"fax_number": "404-869-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 PEACHTREE RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192729",
"telephone_number": "404-814-9199",
"fax_number": "404-869-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "007211",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 24, 2024; 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.