P Praxis·MD
● Active Type 1 · Individual

Jessica Katherine Vernon, PA-C

Physician Assistant·Fayetteville, GA· NPI 1104597210 · Enumerated 2021 · 4 years on NPI
Vernon is 1 of 18 physician assistant providers in Fayetteville and 1 of 1333 in Georgia.
NPI age
4 years
Enumerated 2021-09-28
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
4 years
↓ 11 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
1275 Highway 54 W Ste 201
Fayetteville, GA 302144538
📞 7704613774
Mailing address
245 Highview Trce
Fayetteville, GA 302152384
📞 6784717965

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #10526 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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