Jessica Estrada, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11064 Issued in GA

Practice address

1235 Indian Trail Rd
Norcross, GA 30093-5524

Phone

(770) 931-1333

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.estrada.1@31652.direct.athenahealth.com

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.

• Georgia Primary Care Partners, LLC

  • Primary Care Clinic/Center
  • Richmond Hill, GA
  • NPI 1144084856

  GA

  Medicare reassignment Care Compare group
• The Urgent Care Center of Richmond Hill, LLC

  • Urgent Care Clinic/Center
  • Hinesville, GA
  • NPI 1760265151
  NPD (past)
• Otashe Golden, MD, Inc.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1912165598
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1801517446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BLAIR CIR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192241",
            "telephone_number": "478-302-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935524",
            "telephone_number": "770-931-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Alejandra Esparza
• Adriana Espinosa, R.N.
• Leydi Marcela Espinosa, DNP, FNP
• Essilor Laboratories of America, Inc
• Johanna Estevez, LMFT
• Anne Nzekellang Mbu Etonga, DC
• Shajae Evans
• Mallory Rexroad Even, MT-BC
• Galatia Jenee Everette
• Everkind Hospice, LLC

• Medical Physician Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.