Individual provider Active NPI

Jenna Parsons, CPNP-PC

  • Pediatric Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1831965805
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN-NP296342 Issued in GA
Practice address
80 Parker Dr
Monroe, GA 30656-1100
Phone
(678) 381-2630
Fax
(678) 381-2627
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X APRN-NP296342 GA Primary
Registered Nurse 163W00000X RN296342 GA

Addresses

Primary practice location

80 Parker Dr
Monroe, GA 30656-1100

Mailing address

297 Cooper Rd
Loganville, GA 30052-2518
Phone (678) 381-2630

Other practice location 1

297 Cooper Rd
Loganville, GA 30052-2518
Phone (678) 381-2630

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN296342GAMDRegistered Nurse
APRN-NP296342GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson Pediatrics, LLC Single Specialty CurrentSince Nov 8, 2025 Accepting new patients

Locations

297 Cooper Rd
Loganville, GA 30052
Phone (678) 381-2627

80 Parker Dr
Monroe, GA 30656
Phone (678) 381-2630

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1831965805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "678-381-2630",
            "fax_number": "678-381-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PARKER DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306561100",
            "telephone_number": "678-381-2630",
            "fax_number": "678-381-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522518",
            "country_code": "US",
            "telephone_number": "678-381-2630",
            "fax_number": "678-381-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JENNA",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "APRN-NP296342",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN296342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.